Organization
STEVENS CHIROPRACTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOEL B STEVENS DC (CHIROPRACTOR/MANAGING PARTNER)
(505) 546-2555
Entity
Organization
Contact information
Practice address
722 E FLORIDA ST, DEMING, NM 88030-5310
(505) 546-2555
(505) 546-2725
Mailing address
PO BOX 1518, DEMING, NM 88031-1518
(505) 546-2555
(505) 546-2725
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1490
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31806
LOVELACE
—
01
—
63180
PRES
—
01
—
DA432Z
RR MEDICARE
—
01
—
NM01KH64
BCBS
—
Enumeration date
10/17/2005
Last updated
08/22/2020
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