Embodied Soul Chiropractic

Organization Active NPI Chiropractor · Albuquerque, NM

NPI 1982152237 · NPPES record last updated Sep 15, 2016

Key facts

NPI
1982152237
Entity type
Organization (NPI type 2)
Primary specialty
Chiropractor 111N00000X
License
2146 (NM)
Legal business name
EMBODIED SOUL CHIROPRACTIC
Practice address
5305 Heritage CT NE
Albuquerque, NM 87109-3178
Phone
(505) 822-5001
NPI assigned
Sep 15, 2016
Organization subpart
No

Authorized official

Name
Dr. Randall Adam Polgar, D.C.
Title
Doctor of Chiropractic
Phone
(408) 373-1358

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

5305 Heritage Ct NE
Albuquerque, NM 87109
Phone (505) 699-4594

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP
111N00000X 2146 NM Yes

Addresses

Primary practice location

5305 Heritage CT NE
Albuquerque, NM 87109-3178

Mailing address

5305 Heritage CT NE
Albuquerque, NM 87109-3178
Phone (505) 822-5001

Other providers in Albuquerque, NM

All providers in Albuquerque, NM · Chiropractor in New Mexico

Sources for this page

Verify at the official NPI Registry.