Healthcare Provider Details

I. General information

NPI: 1972636231
Provider Name (Legal Business Name): LIFETIME CHIROPRACTIC UNIT 2 PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 11/28/2025
Certification Date: 11/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7007 WYOMING BLVD NE SUITE E2
ALBUQUERQUE NM
87109
US

IV. Provider business mailing address

7007 WYOMING BLVD NE SUITE E2
ALBUQUERQUE NM
87109
US

V. Phone/Fax

Practice location:
  • Phone: 505-822-0306
  • Fax:
Mailing address:
  • Phone: 505-822-0306
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1079
License Number StateNM

VIII. Authorized Official

Name: DR. PATRICK CHRISTOPHER CHENOWETH
Title or Position: OWNER/PC
Credential: DC
Phone: 505-822-0306