| White Mountain Chiropractic Inc. | |
|
500 Mechem Dr, Suite C, Ruidoso, NM 88345-6949 | |
| (575) 257-7970 | |
| (575) 257-7970 |
| Full Name | White Mountain Chiropractic Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Neurology |
| Location | 500 Mechem Dr, Ruidoso, 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 |
|---|---|---|---|
| 1962751669 | NPI | - | NPPES |
| 585929590 | Other | NM | MEDICARE PTAN |
| L4208 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NN0400X | Chiropractor - Neurology | 1375 (New Mexico) | Primary |
| Provider Name | Bruce Wayne Klinekole |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1093720864 PECOS PAC ID: 3476457540 Enrollment ID: I20031120000699 |
| Mailing Address | Practice Location Address |
|---|---|
| White Mountain Chiropractic Inc. 500 Mechem Dr, Suite C, Ruidoso, NM 88345-6949 Ph: (575) 257-7970 | White Mountain Chiropractic Inc. 500 Mechem Dr, Suite C, Ruidoso, NM 88345-6949 Ph: (575) 257-7970 |
Alpha And Omega Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1123 Mechem Dr, Ruidoso, NM 88345 Phone: 505-258-5999 | |
Dr. Bruce Wayne Klinekole, D.C., D.A.C.N.B. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 500 Mechem Dr Ste C, Ruidoso, NM 88345 Phone: 505-257-7970 Fax: 505-257-7970 | |
Dr. Dominique M Taylor, Chiropractor Medicare: Medicare Enrolled Practice Location: 208 Porr Dr, Ruidoso, NM 88345 Phone: 575-315-2256 Fax: 575-630-2083 | |
Dr. Joseph Michael Fraley, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 1123 Mechem Dr, Suite 2, Ruidoso, NM 88345 Phone: 505-937-4307 | |
Mary V Peebles, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2902 Sudderth Dr, Ruidoso, NM 88345 Phone: 575-630-0499 | |
Alpha And Omega Chiropractic Pc Chiropractor Medicare: Medicare Enrolled Practice Location: 1123 Mechem Dr # 2, Ruidoso, NM 88345 Phone: 575-258-5999 | |
Dr. David Lee Mcminn, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1102 Sudderth Dr, Ruidoso, NM 88345 Phone: 575-257-6111 Fax: 575-257-6111 |