Healthcare Provider Details

I. General information

NPI: 1124253042
Provider Name (Legal Business Name): BRETT A SAINT AUBIN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2009
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2605 WYOMING BLVD NE
ALBUQUERQUE NM
87112-1029
US

IV. Provider business mailing address

2605 WYOMING BLVD NE
ALBUQUERQUE NM
87112-1029
US

V. Phone/Fax

Practice location:
  • Phone: 505-883-6421
  • Fax:
Mailing address:
  • Phone: 505-883-6421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC2253
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: