Healthcare Provider Details

I. General information

NPI: 1912081233
Provider Name (Legal Business Name): SCOTT DAVID FORBES D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 02/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 S JONES BLVD
LAS VEGAS NV
89146
US

IV. Provider business mailing address

1420 S JONES BLVD
LAS VEGAS NV
89146
US

V. Phone/Fax

Practice location:
  • Phone: 702-877-0707
  • Fax: 702-877-5611
Mailing address:
  • Phone: 702-877-0707
  • Fax: 702-877-5611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License NumberB340
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: