MEDICARE: WESTSIDE CHIROPRACTIC

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	261QM2500X	Medical Specialty Clinic/Center

General Provider Information

NPI Number	:	1851134548
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTSIDE CHIROPRACTIC

Provider Business Mailing Address
First Line	:	6001 WINTER HAVEN DR NW STE H
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87120-1746
Country	:	US
Telephone Number	:	505-508-4534
Fax Number	:

Provider Business Practice Location Address
First Line	:	6001 WINTER HAVEN DR NW STE H
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87120-1746
Country	:	US
Telephone Number	:	505-508-4534
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. JAMES HIRNING
Credential	:	DC
Telephone Number	:	505-508-4534

Provider Enumeration Date	:	06/18/2024
Last Update Date	:	06/18/2024

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Directions to “WESTSIDE CHIROPRACTIC ” Practice Location

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