Healthcare Provider Details

I. General information

NPI: 1821473877
Provider Name (Legal Business Name): FUSE HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2015
Last Update Date: 07/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8100 WYOMING BLVD NE STE M4 #377
ALBUQUERQUE NM
87113-1946
US

IV. Provider business mailing address

8100 WYOMING BLVD NE STE M4 #377
ALBUQUERQUE NM
87113-1946
US

V. Phone/Fax

Practice location:
  • Phone: 505-918-5228
  • Fax:
Mailing address:
  • Phone: 505-918-5228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. RYAN DOBBS
Title or Position: PRESIDENT
Credential: MBA
Phone: 505-918-5228