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NPI Code Detail

MEDICARE: DR. CHAD WHEATLEY D.C.

MEDICARE: DR. CHAD WHEATLEY 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
1111N00000XChiropractorB01533NV

General Provider Information

NPI Number : 1497165120
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHAD WHEATLEY D.C.
Provider Business Mailing Address
First Line : 4955 S DURANGO DR
Second Line : SUITE 213
City : LAS VEGAS
State : NV
Zip : 89113-0152
Country : US
Telephone Number : 702-247-4250
Fax Number :
Provider Business Practice Location Address
First Line : 6090 S FORT APACHE RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148
Country : US
Telephone Number : 702-247-4250
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2014
Last Update Date : 08/11/2018

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Directions to “ DR. CHAD WHEATLEY D.C.” Practice Location

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