Goforth Chiropractic Life Center, P.C.

LBN: Goforth Chiropractic Life Center, P.C.
Goforth Chiropractic Life Center, P.C. is an health care organization with primary practice located at 108 W Hill Ave , Gallup NM 87301-6218. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Goforth Chiropractic Life Center, P.C. can be contacted via phone (505) 722-9002, or through Goforth, Forrest Wayne via phone (505) 722-9002.

Contact Information

Primary practice address
108 W Hill Ave Gallup NM 87301-6218
Fax: (505) 722-7031
Website:
Authorized official contact:
Name: Goforth, Forrest Wayne Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 433 New Mexico

Profile Details

NPI number 1043407919
LBN Legal business name Goforth Chiropractic Life Center, P.C.
DBA Doing business as
Authorized official Goforth, Forrest Wayne Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2007
Last updated Sep 25th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers