MEDICARE: FALLON CHIROPRACTIC INC

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	B00657	NV

General Provider Information

NPI Number	:	1134399157
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FALLON CHIROPRACTIC INC

Provider Business Mailing Address
First Line	:	2725 S JONES BLVD STE 105
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-5605
Country	:	US
Telephone Number	:	702-248-4488
Fax Number	:	702-248-4095

Provider Business Practice Location Address
First Line	:	2725 S JONES BLVD STE 105
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-5605
Country	:	US
Telephone Number	:	702-248-4488
Fax Number	:	702-248-4095

Authorized Official
Title or Position	:	CHIROPRACTIC PHYSICIAN/ OWNER
Name	:	DR. NANCY FALLON
Credential	:	D.C.
Telephone Number	:	702-248-4488

Provider Enumeration Date	:	03/05/2008
Last Update Date	:	03/05/2008

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Directions to “FALLON CHIROPRACTIC INC ” Practice Location

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