=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881790160
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JOHN R ORMAND D.C.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/15/2006
-----------------------------------------------------
Last Update Date | 05/16/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3785 E SUNSET RD SUITE 10
-----------------------------------------------------
City | LAS VEGAS
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89120-6259
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 702-458-4744
-----------------------------------------------------
Fax | 702-458-8620
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3785 E SUNSET RD SUITE 10
-----------------------------------------------------
City | LAS VEGAS
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89120-6259
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 702-458-4744
-----------------------------------------------------
Fax | 702-458-8620
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | B00748
-----------------------------------------------------
License Number State | NV
-----------------------------------------------------