MEDICARE: INTEGRATED HEALTHCARE OF NEVADA

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	B00921	NV

General Provider Information

NPI Number	:	1225193469
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRATED HEALTHCARE OF NEVADA

Provider Business Mailing Address
First Line	:	4517 W SAHARA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-3760
Country	:	US
Telephone Number	:	702-252-7246
Fax Number	:

Provider Business Practice Location Address
First Line	:	4517 W SAHARA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-3760
Country	:	US
Telephone Number	:	702-252-7246
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. ERIC G EASTON
Credential	:	D.C.
Telephone Number	:	702-252-7246

Provider Enumeration Date	:	12/27/2006
Last Update Date	:	02/29/2008

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