Healthcare Provider Details

I. General information

NPI: 1952170169
Provider Name (Legal Business Name): AFFORDABLE CHIROPRACTIC CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2023
Last Update Date: 12/28/2023
Certification Date: 12/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8206 LOUISIANA BLVD NE STE A
ALBUQUERQUE NM
87113-1738
US

IV. Provider business mailing address

8204 VIA ENCANTADA NE
ALBUQUERQUE NM
87122-2768
US

V. Phone/Fax

Practice location:
  • Phone: 505-554-6488
  • Fax:
Mailing address:
  • Phone: 505-554-6488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. MELINDA VAN STONE
Title or Position: OWNER
Credential: DC
Phone: 505-554-6488