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NPI Code Detail

MEDICARE: DAVID C CHURCHILL CPCI

MEDICARE: DAVID C CHURCHILL CPCI
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
1103K00000XBehavior Analyst
2101YM0800XMental Health CounselorCI5044NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417259995
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID C CHURCHILL CPCI
Provider Business Mailing Address
First Line : 1901 S JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-1260
Country : US
Telephone Number : 702-486-7596
Fax Number :
Provider Business Practice Location Address
First Line : 1901 S JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-1260
Country : US
Telephone Number : 702-486-7596
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2010
Last Update Date : 07/23/2025

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1548570245 — JENNIFER LYNN HUSE CI-5430
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1649570201 — DR. KRISANN ALVAREZ ALVAREZ PH.D.
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1306143904 — MRS. RHONDA L THOMPSON LCPC
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Directions to “ DAVID C CHURCHILL CPCI” Practice Location

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