Provider Demographics
NPI:1336520220
Name:ALBERS, ALISSA (DC)
Entity Type:Individual
Prefix:DR
First Name:ALISSA
Middle Name:
Last Name:ALBERS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4811 HARDWARE DR NE
Mailing Address - Street 2:BUILDING C SUITE 3
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-2017
Mailing Address - Country:US
Mailing Address - Phone:505-554-2061
Mailing Address - Fax:505-214-5858
Practice Address - Street 1:4811 HARDWARE DR NE
Practice Address - Street 2:BUILDING C SUITE 3
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-2017
Practice Address - Country:US
Practice Address - Phone:505-554-2061
Practice Address - Fax:505-214-5858
Is Sole Proprietor?:No
Enumeration Date:2015-06-16
Last Update Date:2015-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2117111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor