Healthcare Provider Details

I. General information

NPI: 1396054508
Provider Name (Legal Business Name): OCD UNLIMITED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2010
Last Update Date: 10/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

595 MOUNT ROSE ST
RENO NV
89509-3363
US

IV. Provider business mailing address

595 MOUNT ROSE ST
RENO NV
89509-3363
US

V. Phone/Fax

Practice location:
  • Phone: 775-786-9006
  • Fax: 775-786-9007
Mailing address:
  • Phone: 775-786-9006
  • Fax: 775-786-9007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberB00717
License Number StateNV

VIII. Authorized Official

Name: DANIEL W. BARLOW
Title or Position: PRESIDENT
Credential: D.C.
Phone: 775-786-9006