Fackrell, Brad
Fackrell, Brad is an individual health care provider with primary practice located at 3301 Southern Blvd Se Suite 304, Rio Rancho NM 87124-2085. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Fackrell, Brad can be contacted via phone (505) 891-2280.Contact Information
Primary practice address
3301 Southern Blvd Se Suite 304
Rio Rancho NM 87124-2085
Phone: (505) 891-2280
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1577 | New Mexico |
Profile Details
| NPI number | 1275706954 |
|---|---|
| LBN Legal business name | Fackrell, Brad |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2008 |
| Last updated | Sep 11th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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