MEDICARE: HEALING HAPPENS NM, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	1530	NM

General Provider Information

NPI Number	:	1033424502
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING HAPPENS NM, LLC

Provider Business Mailing Address
First Line	:	2730 SAN PEDRO DR NE
Second Line	:	SUITE B-1
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87110-3334
Country	:	US
Telephone Number	:	505-271-8888
Fax Number	:	505-881-2129

Provider Business Practice Location Address
First Line	:	2730 SAN PEDRO DR NE
Second Line	:	SUITE B-1
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87110-3334
Country	:	US
Telephone Number	:	505-271-8888
Fax Number	:	505-881-2129

Authorized Official
Title or Position	:	OWNER
Name	:	DR. LAURA HOBSON-SHOEMAKER
Credential	:	DC-APC
Telephone Number	:	505-271-8888

Provider Enumeration Date	:	08/09/2010
Last Update Date	:	10/27/2010

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