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NPI Code Detail

MEDICARE: ALIGN CHIROPRACTIC LLC

MEDICARE: ALIGN CHIROPRACTIC LLC
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
1111N00000XChiropractorB0993NV

General Provider Information

NPI Number : 1598995078
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALIGN CHIROPRACTIC LLC
Provider Business Mailing Address
First Line : 6441 N DURANGO DR STE 130
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-4588
Country : US
Telephone Number : 702-538-9100
Fax Number : 702-478-6013
Provider Business Practice Location Address
First Line : 6441 N DURANGO DR STE 130
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-4588
Country : US
Telephone Number : 702-538-9100
Fax Number : 702-478-6013
Authorized Official
Title or Position : PRESIDENT
Name : KEITH QUISBERG
Credential : DC
Telephone Number : 702-538-9100
Provider Enumeration Date : 07/20/2009
Last Update Date : 07/20/2009

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Directions to “ALIGN CHIROPRACTIC LLC ” Practice Location

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