Healthcare Provider Details

I. General information

NPI: 1033458146
Provider Name (Legal Business Name): CHIROPRACTIC CARING FOR YOU LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2013
Last Update Date: 04/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2151 N MAIN ST
LAS CRUCES NM
88001-1128
US

IV. Provider business mailing address

2151 N MAIN ST
LAS CRUCES NM
88001-1128
US

V. Phone/Fax

Practice location:
  • Phone: 575-524-0400
  • Fax: 575-524-0595
Mailing address:
  • Phone: 575-524-0400
  • Fax: 575-524-0595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number962
License Number StateNM

VIII. Authorized Official

Name: DR. EDWARD WADE RICHARDSON
Title or Position: SOLE OWNER
Credential: D.C.
Phone: 575-524-0400