MEDICARE: DR. JARED LEE NORMAN 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	B01243	NV

General Provider Information

NPI Number	:	1881819399
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JARED LEE NORMAN D.C

Provider Business Mailing Address
First Line	:	8665 S EASTERN AVE # 103
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-2839
Country	:	US
Telephone Number	:	702-492-1776
Fax Number	:	702-947-6117

Provider Business Practice Location Address
First Line	:	8665 S EASTERN AVE # 103
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-2839
Country	:	US
Telephone Number	:	702-492-1776
Fax Number	:	702-947-6117

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

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	12/03/2025

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