Gordon Battle Eatman, D.C.
Individual provider Active NPI Chiropractor · Cedar Crest, NM
NPI 1669559258 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1669559258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 577 (NM)
- Practice address
- 49 Los Lomas Cir
Cedar Crest, NM 87008-9308 - Phone
- (505) 286-8067
- Fax
- (505) 286-8067
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 577 | NM | Yes |
Addresses
Primary practice location
49 Los Lomas Cir
Cedar Crest, NM 87008-9308
Mailing address
49 Los Lomas Cir
Cedar Crest, NM 87008-9308
Phone (505) 286-8067
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000K6164 | Medicaid | NM |
Other providers in Cedar Crest, NM
- Jana R. Covell
- Rebeca Jazmin Cruz
- Keli Maureen Dersch-Baldonado
- Desert Thriving LLC
- Eastern Slope Counseling and Consulting, LLC
- Jacob Field
- Santana Flint
- Fowler Enterprises Inc.
- Cheryl W Fowler
- Katherine Freeman Croft
All providers in Cedar Crest, NM · Chiropractor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 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.