Organization
ACT CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW CLIN TWITCHELL D.C. (CHIROPRACTIC)
(505) 887-3263
Entity
Organization
Contact information
Practice address
710 N CANAL ST, CARLSBAD, NM 88220-5808
(505) 887-3263
(505) 887-6296
Mailing address
710 N CANAL ST, CARLSBAD, NM 88220-5808
(505) 887-3263
(505) 887-6296
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1428
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508948266
INDIVIDUAL NPI NUMBER
NM
01
—
1831390939
BLUECROSS BLUE SHIELD
NM
05
—
A2866
—
NM
Enumeration date
05/29/2007
Last updated
07/01/2008
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