MEDICARE: THE NECK AND BACK CLINICS, LLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	B00624	NV

General Provider Information

NPI Number	:	1043411754
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE NECK AND BACK CLINICS, LLP

Provider Business Mailing Address
First Line	:	PO BOX 36853
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89133-6853
Country	:	US
Telephone Number	:	702-644-3333
Fax Number	:	702-644-3336

Provider Business Practice Location Address
First Line	:	2425 N LAMB BLVD
Second Line	:	STE 100
City	:	LAS VEGAS
State	:	NV
Zip	:	89115-5420
Country	:	US
Telephone Number	:	702-644-9155
Fax Number	:	702-644-1255

Authorized Official
Title or Position	:	PRESIDENT/ OWNER
Name	:	MICHAEL WAYNE BARNEY
Credential	:	DC
Telephone Number	:	702-644-3333

Provider Enumeration Date	:	05/30/2007
Last Update Date	:	02/11/2014

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