Individual provider · Type 1 NPI
Emmanuel P. Boulogne, DC
Chiropractor · Albuquerque, NM
NPI number
1437412574
Active
Practice location
5901J Wyoming Blvd NE # 203
Albuquerque, NM 87109-3866
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 1955 (NM) |
| Chiropractor | 111N00000X | 1042 (MA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1437412574
Emmanuel P. Boulogne, DC's National Provider Identifier is 1437412574, issued on Jun 22, 2012. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Albuquerque, NM. The record was last updated on Jun 22, 2012.