MEDICARE: HARMEL CHIROPRACTIC LLC

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 01597	NV

General Provider Information

NPI Number	:	1316311244
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARMEL CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	1201 N DECATUR BLVD
Second Line	:	STE 109
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-1222
Country	:	US
Telephone Number	:	702-646-1150
Fax Number	:	702-646-1152

Provider Business Practice Location Address
First Line	:	1201 N DECATUR BLVD
Second Line	:	STE 109
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-1222
Country	:	US
Telephone Number	:	702-646-1150
Fax Number	:	702-646-1152

Authorized Official
Title or Position	:	OWNER/OPERATOR
Name	:	DR. NICOLE LEE HARMEL
Credential	:	DC
Telephone Number	:	702-646-1150

Provider Enumeration Date	:	11/16/2015
Last Update Date	:	11/16/2015

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