Provider Demographics
NPI:1851134548
Name:WESTSIDE CHIROPRACTIC
Entity type:Organization
Organization Name:WESTSIDE CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:HIRNING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:505-508-4534
Mailing Address - Street 1:6001 WINTER HAVEN DR NW STE H
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87120-1746
Mailing Address - Country:US
Mailing Address - Phone:505-508-4534
Mailing Address - Fax:
Practice Address - Street 1:6001 WINTER HAVEN DR NW STE H
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87120-1746
Practice Address - Country:US
Practice Address - Phone:505-508-4534
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-18
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty