Provider Demographics
NPI:1649797143
Name:SPINAL MECHANIC INC.
Entity type:Organization
Organization Name:SPINAL MECHANIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:MAURICE
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:505-205-1011
Mailing Address - Street 1:9384 VALLEY VIEW DR NW STE 400
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87114-4403
Mailing Address - Country:US
Mailing Address - Phone:505-205-1011
Mailing Address - Fax:505-999-1220
Practice Address - Street 1:9384 VALLEY VIEW DR NW STE 400
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87114-4403
Practice Address - Country:US
Practice Address - Phone:505-205-1011
Practice Address - Fax:505-999-1220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-24
Last Update Date:2017-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2133111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty