Healthcare Provider Details

I. General information

NPI: 1215265301
Provider Name (Legal Business Name): LOUISE A CASH D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2009
Last Update Date: 11/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 E COLLEGE AVE
SILVER CITY NM
88061-6453
US

IV. Provider business mailing address

PO BOX 335
MIMBRES NM
88049-0335
US

V. Phone/Fax

Practice location:
  • Phone: 575-519-2724
  • Fax:
Mailing address:
  • Phone: 575-519-2724
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1626
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number1626
License Number StateNM
# 3
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number1626
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: