NPI | 1548572779 |
---|---|
Former Legal Business Name | EQUILIBRIUM CHIROPRACTIC, L.L.C |
Entity Type | Organization |
Authorized Contact | MICHAEL ANDREW PRIDHAM Owner/Chiropractic Physician 505-872-1900 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NM 1825) |
Enumeration Date | 2010-07-02 |
Last Update Date | 2024-08-19 |