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NPI Code Detail

MEDICARE: DR. IAN K YAMANE DC

MEDICARE: DR. IAN K YAMANE DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorB583NV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1V36667OTHERNVMEDICARE PTN

General Provider Information

NPI Number : 1144232299
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IAN K YAMANE DC
Provider Business Mailing Address
First Line : 2851 N TENAYA WAY STE 103
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0453
Country : US
Telephone Number : 702-309-4878
Fax Number : 702-658-7117
Provider Business Practice Location Address
First Line : 2851 N TENAYA WAY STE 103
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0453
Country : US
Telephone Number : 702-309-4878
Fax Number : 702-658-7117
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2006
Last Update Date : 02/27/2015

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Directions to “ DR. IAN K YAMANE DC” Practice Location

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