Michael B Sells, D.C.
Individual provider Active NPI Chiropractor · Aztec, NM
NPI 1174645873 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1174645873
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1636 (NM)
- Practice address
- 1415 W Aztec Blvd
Suite #4
Aztec, NM 87410-1868 - Phone
- (505) 334-5004
- Fax
- (505) 334-8077
- NPI assigned
- Apr 4, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1636 | NM | MD | Contractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1636 | NM | Yes |
Addresses
Primary practice location
1415 W Aztec Blvd
Suite #4
Aztec, NM 87410-1868
Mailing address
1415 W Aztec Blvd
Suite #4
Aztec, NM 87410-1868
Phone (505) 334-5004
Other providers in Aztec, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.