Provider Demographics
NPI:1740021229
Name:HIGH ALTITUDE HYPERBARIC & WELLNESS
Entity type:Organization
Organization Name:HIGH ALTITUDE HYPERBARIC & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF NAPRAPATHY
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:WIDENER
Authorized Official - Suffix:
Authorized Official - Credentials:DN
Authorized Official - Phone:575-973-1514
Mailing Address - Street 1:103 EL PASO RD
Mailing Address - Street 2:
Mailing Address - City:RUIDOSO
Mailing Address - State:NM
Mailing Address - Zip Code:88345-6033
Mailing Address - Country:US
Mailing Address - Phone:575-973-1514
Mailing Address - Fax:575-315-2925
Practice Address - Street 1:1713 SUDDERTH DR
Practice Address - Street 2:
Practice Address - City:RUIDOSO
Practice Address - State:NM
Practice Address - Zip Code:88345-6114
Practice Address - Country:US
Practice Address - Phone:575-315-2367
Practice Address - Fax:575-315-2925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-06
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172P00000XOther Service ProvidersNaprapathGroup - Single Specialty