| Sunrise Chiropractic Llc | |
|
409 West Main Street Farmington NM 87401 | |
| (505) 324-2080 | |
| (505) 324-9464 |
| Full Name | Sunrise Chiropractic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 409 West Main Street, Farmington, New Mexico |
| Authorized Official Name and Position | Beth Lehr Davis (CHIROPRACTOR/OWNER) |
| Authorized Official Contact | 5053242880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Chiropractic Llc 409 West Main Street Farmington NM 87401 Ph: (505) 324-2080 | Sunrise Chiropractic Llc 409 West Main Street Farmington NM 87401 Ph: (505) 324-2080 |
| NPI Number | 1780821512 |
|---|---|
| Provider Enumeration Date | 01/15/2009 |
| Last Update Date | 01/03/2024 |
| Medicare PECOS PAC ID | 5496879413 |
|---|---|
| Medicare Enrollment ID | O20100827000530 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780821512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1699 (New Mexico) | Primary |
| Provider Name | Beth L Davis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1699912899 PECOS PAC ID: 0345364360 Enrollment ID: I20100827000622 |
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