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NPI Code Detail

MEDICARE: SUNRISE CHIROPRACTIC

MEDICARE: SUNRISE CHIROPRACTIC
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
1111N00000XChiropractorB00363NV

General Provider Information

NPI Number : 1447654777
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNRISE CHIROPRACTIC
Provider Business Mailing Address
First Line : 4019 E SUNSET RD
Second Line :
City : HENDERSON
State : NV
Zip : 89014-0215
Country : US
Telephone Number : 702-452-5000
Fax Number : 702-452-8609
Provider Business Practice Location Address
First Line : 4019 E SUNSET RD
Second Line :
City : HENDERSON
State : NV
Zip : 89014-0215
Country : US
Telephone Number : 702-452-5000
Fax Number : 702-452-8609
Authorized Official
Title or Position : PRESIDENT
Name : MICHAEL SHELDON KELSEY
Credential :
Telephone Number : 702-452-5000
Provider Enumeration Date : 10/15/2014
Last Update Date : 10/15/2014

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Directions to “SUNRISE CHIROPRACTIC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.