MEDICARE: VU'S RAINBOW CHIROPRACTIC CENTER LTD

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
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1205046612
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VU'S RAINBOW CHIROPRACTIC CENTER LTD

Provider Business Mailing Address
First Line	:	101 S RAINBOW BLVD
Second Line	:	STE. B-32
City	:	LAS VEGAS
State	:	NV
Zip	:	89145-5362
Country	:	US
Telephone Number	:	702-877-1200
Fax Number	:	702-877-9940

Provider Business Practice Location Address
First Line	:	101 S RAINBOW BLVD
Second Line	:	STE. B-32
City	:	LAS VEGAS
State	:	NV
Zip	:	89145-5362
Country	:	US
Telephone Number	:	702-877-1200
Fax Number	:	702-877-9940

Authorized Official
Title or Position	:	OWNER
Name	:	DR. TONY A VU
Credential	:	D.C.
Telephone Number	:	702-877-1200

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	10/23/2015

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