| Advanced Chiropractic Clinic Llc | |
|
1415 W Aztec Blvd, Ste 4, Aztec, NM 87410-1868 | |
| (505) 334-5004 | |
| (505) 334-8077 |
| Full Name | Advanced Chiropractic Clinic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1415 W Aztec Blvd, Aztec, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013310085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2109 (New Mexico) | Primary |
| Provider Name | Jonathon Qualls |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1710299417 PECOS PAC ID: 3375701261 Enrollment ID: I20150107001450 |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Chiropractic Clinic Llc 1415 W Aztec Blvd, Ste 4, Aztec, NM 87410-1868 Ph: (505) 334-5004 | Advanced Chiropractic Clinic Llc 1415 W Aztec Blvd, Ste 4, Aztec, NM 87410-1868 Ph: (505) 334-5004 |
Aztec Chiropractic Center, P.c. Chiropractor Medicare: Medicare Enrolled Practice Location: 318 E. Chuska, Aztec, NM 87410 Phone: 505-334-3633 Fax: 505-334-6227 | |
Dr. Michael B Sells, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1415 W Aztec Blvd, Suite #4, Aztec, NM 87410 Phone: 505-334-5004 Fax: 505-334-8077 | |
Adjusted Chiropractic Center Chiropractor Medicare: Medicare Enrolled Practice Location: 1409 W Aztec Blvd, 8, Aztec, NM 87410 Phone: 505-333-7929 Fax: 505-333-7931 | |
Dr. Nathan Anthony Douglas Mcclain, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1409 W Aztec Blvd, 8, Aztec, NM 87410 Phone: 505-333-7929 Fax: 505-333-7931 | |
Jonathon Qualls, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1415 W Aztec Blvd Ste 4, Aztec, NM 87410 Phone: 505-334-5004 Fax: 970-385-8584 | |
Advanced Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1415 W Aztec Blvd, #4, Aztec, NM 87410 Phone: 505-334-5004 Fax: 505-334-8077 |