MEDICARE: SIERRA HEALTH CONCERN, 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	B-00317	NV

General Provider Information

NPI Number	:	1164603080
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIERRA HEALTH CONCERN, INC.

Provider Business Mailing Address
First Line	:	5365 MAE ANNE AVE
Second Line	:	STE B-2
City	:	RENO
State	:	NV
Zip	:	89523-1840
Country	:	US
Telephone Number	:	775-324-3700
Fax Number	:	775-324-2370

Provider Business Practice Location Address
First Line	:	5365 MAE ANNE AVE
Second Line	:	STE. B-2
City	:	RENO
State	:	NV
Zip	:	89523-1840
Country	:	US
Telephone Number	:	775-324-3700
Fax Number	:	775-324-2370

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DAVID ROVETTI
Credential	:	D.C.
Telephone Number	:	775-324-3700

Provider Enumeration Date	:	11/20/2007
Last Update Date	:	01/13/2016

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Practice Fax: 775-324-2370

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