MEDICARE: JOHN R ORMAND 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	B00748	NV

General Provider Information

NPI Number	:	1881790160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN R ORMAND D.C.

Provider Business Mailing Address
First Line	:	3785 E SUNSET RD
Second Line	:	SUITE 10
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-6259
Country	:	US
Telephone Number	:	702-458-4744
Fax Number	:	702-458-8620

Provider Business Practice Location Address
First Line	:	3785 E SUNSET RD
Second Line	:	SUITE 10
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-6259
Country	:	US
Telephone Number	:	702-458-4744
Fax Number	:	702-458-8620

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

Provider Enumeration Date	:	09/15/2006
Last Update Date	:	05/16/2008

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