Provider Demographics
NPI:1952170169
Name:AFFORDABLE CHIROPRACTIC CARE LLC
Entity type:Organization
Organization Name:AFFORDABLE CHIROPRACTIC CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:VAN STONE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:505-554-6488
Mailing Address - Street 1:8204 VIA ENCANTADA NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87122-2768
Mailing Address - Country:US
Mailing Address - Phone:505-554-6488
Mailing Address - Fax:
Practice Address - Street 1:8206 LOUISIANA BLVD NE STE A
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87113-1738
Practice Address - Country:US
Practice Address - Phone:505-554-6488
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-28
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor