Organization
BACK IN ACTION CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN SHORT D.C. (OWNER)
(505) 660-2080
Entity
Organization
Contact information
Practice address
1444 S SAINT FRANCIS DR, SUITE C, SANTA FE, NM 87505-4229
(505) 660-2080
Mailing address
1444 S SAINT FRANCIS DR, SUITE C, SANTA FE, NM 87505-4229
(505) 660-2080
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1538
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202021346
PRESBYTERIAN HEALTH PLAN
NM
01
—
NM00KL90
BLUE CROSS BLUE SHIELD
NM
Enumeration date
03/11/2008
Last updated
09/18/2009
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