Healthcare Provider Details

I. General information

NPI: 1720279052
Provider Name (Legal Business Name): LIN & LIN CHIROPRACTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2007
Last Update Date: 08/01/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4528 W CHARLESTON BLVD
LAS VEGAS NV
89102-1502
US

IV. Provider business mailing address

4528 W CHARLESTON BLVD
LAS VEGAS NV
89102-1502
US

V. Phone/Fax

Practice location:
  • Phone: 702-382-7753
  • Fax: 702-382-7753
Mailing address:
  • Phone: 702-382-7753
  • Fax: 702-382-7753

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberB973
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License NumberB973
License Number StateNV

VIII. Authorized Official

Name: DR. IRENE LIN
Title or Position: PRESIDENT
Credential: D.C.
Phone: 702-382-7753