MEDICARE: DR. SHIRA KRISTIN BADGER D.C.

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	B01312	NV

General Provider Information

NPI Number	:	1104056183
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHIRA KRISTIN BADGER D.C.

Provider Business Mailing Address
First Line	:	2390 W HORIZON RIDGE PKWY
Second Line	:	SUITE 130
City	:	HENDERSON
State	:	NV
Zip	:	89052-5079
Country	:	US
Telephone Number	:	702-233-2225
Fax Number	:	702-233-3508

Provider Business Practice Location Address
First Line	:	2390 W HORIZON RIDGE PKWY
Second Line	:	SUITE 130
City	:	HENDERSON
State	:	NV
Zip	:	89052-5079
Country	:	US
Telephone Number	:	702-233-2225
Fax Number	:	702-233-3508

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/23/2009
Last Update Date	:	11/25/2014

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