MEDICARE: DUBLIN J HART 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	21353	CA
2	111N00000X	Chiropractor	B-00468	NV

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	350045434	OTHER	NV	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	B-00468	OTHER	NV	NV LICENSE #

General Provider Information

NPI Number	:	1811995756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DUBLIN J HART D.C.

Provider Business Mailing Address
First Line	:	1685 US HIGHWAY 395 N STE 7
Second Line	:
City	:	MINDEN
State	:	NV
Zip	:	89423-4318
Country	:	US
Telephone Number	:	775-575-7311
Fax Number	:	775-772-3008

Provider Business Practice Location Address
First Line	:	1685 US HIGHWAY 395 N STE 7
Second Line	:
City	:	MINDEN
State	:	NV
Zip	:	89423-4318
Country	:	US
Telephone Number	:	775-575-7311
Fax Number	:	775-772-3008

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

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	10/31/2018

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Directions to “ DUBLIN J HART D.C.” Practice Location

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