Healthcare Provider Details

I. General information

NPI: 1710697578
Provider Name (Legal Business Name): SNL MANAGEMENT GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2022
Last Update Date: 04/18/2023
Certification Date: 04/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3250 S. HWY 160 STE 7
PAHRUMP NV
89048
US

IV. Provider business mailing address

9548 MEDWAY TOWNS AVE
LAS VEGAS NV
89178-9375
US

V. Phone/Fax

Practice location:
  • Phone: 702-530-2225
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID LEWIS
Title or Position: MANAGER
Credential: DC
Phone: 702-530-2225