| Ducasse Chiropractic Inc | |
|
601 N 1st St, Suite B, Grants, NM 87020-2703 | |
| (505) 287-5377 | |
| (505) 287-5508 |
| Full Name | Ducasse Chiropractic Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 601 N 1st St, Grants, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538324421 | NPI | - | NPPES |
| 09203818 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1749 (New Mexico) | Primary |
| Provider Name | Rose Agnes Ducasse |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1336116458 PECOS PAC ID: 8729065255 Enrollment ID: I20090713000360 |
| Mailing Address | Practice Location Address |
|---|---|
| Ducasse Chiropractic Inc Po Box 540, Grants, NM 87020-0540 Ph: (505) 287-5377 | Ducasse Chiropractic Inc 601 N 1st St, Suite B, Grants, NM 87020-2703 Ph: (505) 287-5377 |
Dr. Rose A Ducasse, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 601 N 1st St, Suite B, Grants, NM 87020 Phone: 505-287-5377 Fax: 505-287-5508 | |
Mr. William Daniel Soulsby, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 824 N First St, Grants, NM 87020 Phone: 505-285-6639 Fax: 505-285-6639 |