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Shane K Wisehart, DC
Chiropractor in Los Alamos, New Mexico
NPI 1649385980

Shane K Wisehart is a Chiropractor based in Los Alamos, NM. Shane K Wisehart practices in Los Alamos, NM and has the professional credentials of DC. The NPI Number for Shane K Wisehart is 1649385980 and holds a License No. 1186 (New Mexico).

The current practice location address for Shane K Wisehart is 35 Bonnie View Dr, Los Alamos, NM and can be reached out via phone at 505-672-9774.

Location: 35 Bonnie View Dr, Los Alamos, NM, 87547-3737
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649385980
Provider Name
Shane K Wisehart
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
35 Bonnie View Dr, Los Alamos, NM, 87547-3737
Phone Number
505-672-9774
Fax Number
Provider Enumeration Date
08/19/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
35 Bonnie View Dr
City
Los Alamos
State
New Mexico
Zip
87547-3737
Phone Number
505-672-9774
Fax Number
person
Provider Business Mailing Address Details
Address
35 Bonnie View Dr
City
Los Alamos
State
New Mexico
Zip
87547-3737
Phone Number
505-672-9774
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
1186 (New Mexico)
Definition
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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