Individual
JEFFREY L BENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
209 HIGHWAY 314 NW, LOS LUNAS, NM 87031-6697
(505) 865-7610
(505) 865-8673
Mailing address
PO BOX 2927, LOS LUNAS, NM 87031-2927
(505) 865-7610
(505) 865-8673
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1247
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00KP19
BC/BS
NM
01
—
201000668
PRESBYTERIAN
NM
Enumeration date
09/11/2006
Last updated
08/15/2014
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