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NPI Code Detail

MEDICARE: SUMMIT INTEGRATED HEALTH OF NLV

MEDICARE: SUMMIT INTEGRATED HEALTH OF NLV
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
1111N00000XChiropractor
2111NS0005XSports Physician Chiropractor
3111NX0100XOccupational Health Chiropractor
4171100000XAcupuncturist
5171400000XHealth & Wellness Coach
6175F00000XNaturopath
7207KA0200XAllergy Physician
8225100000XPhysical Therapist
9363LF0000XFamily Nurse Practitioner
10207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1205584117
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUMMIT INTEGRATED HEALTH OF NLV
Provider Business Mailing Address
First Line : 3222 E VIKING RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-4318
Country : US
Telephone Number : 404-447-9945
Fax Number : 702-726-9543
Provider Business Practice Location Address
First Line : 2590 NATURE PARK DR STE 135
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89084-3187
Country : US
Telephone Number : 702-636-2843
Fax Number : 702-726-9543
Authorized Official
Title or Position : BILLING/CREDENTIALING
Name : MS. GENNIE M BUDET
Credential :
Telephone Number : 702-462-9729
Provider Enumeration Date : 03/10/2022
Last Update Date : 02/07/2023

Similar Medicare Providers

1932287596 — MATTHEW B. ANDERSON D.C., P.C.
Practice Location Address:
2590 NATURE PARK DR STE 135
NORTH LAS VEGAS, NV
89084-3187
Practice Phone: 702-636-2843
Practice Fax: 702-726-9543
1902037799 — DR. SHANNON BETH DARROW DC
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Practice Fax: 702-726-9543
1386278141 — BENNETT W PATTERSON DC
Practice Location Address:
2590 NATURE PARK DR STE 135
NORTH LAS VEGAS, NV
89084-3187
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Practice Fax: 702-726-9543
1801464110 — SUMMIT INTEGRATED HEALTH OF NLV
Practice Location Address:
2590 NATURE PARK DR STE 135
NORTH LAS VEGAS, NV
89084-3187
Practice Phone: 702-636-2843
Practice Fax: 702-726-9543
1558012104 — DR. ALLISON PAIGE MCMASTER DC
Practice Location Address:
2590 NATURE PARK DR STE 135
NORTH LAS VEGAS, NV
89084-3187
Practice Phone: 702-636-2843
Practice Fax:
1902558356 — DR. BRENNAN ATTALES DC
Practice Location Address:
2590 NATURE PARK DR STE 135
NORTH LAS VEGAS, NV
89084-3187
Practice Phone: 702-636-2843
Practice Fax:

Directions to “SUMMIT INTEGRATED HEALTH OF NLV ” Practice Location

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