MEDICARE: RON MICHAEL CHENEY 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	B801	NV

General Provider Information

NPI Number	:	1609948173
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RON MICHAEL CHENEY D.C.

Provider Business Mailing Address
First Line	:	1210 GOLDEN SPIKE CT
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-7841
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1006 N RANCHO DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-1007
Country	:	US
Telephone Number	:	702-631-3136
Fax Number	:	702-631-3146

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

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	07/08/2007

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