MEDICARE: JARRETT D BROOKS D.C.

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	B02020	NV

General Provider Information

NPI Number	:	1356110761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JARRETT D BROOKS D.C.

Provider Business Mailing Address
First Line	:	7632 CONNEMARA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-2641
Country	:	US
Telephone Number	:	702-541-5215
Fax Number	:

Provider Business Practice Location Address
First Line	:	900 S PAVILION CENTER DR STE 180
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89144-4582
Country	:	US
Telephone Number	:	702-541-5215
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2023
Last Update Date	:	12/27/2023

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Directions to “ JARRETT D BROOKS D.C.” Practice Location

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