MEDICARE: MR. JASON MICAH RAMOS D.C.

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	B01034	NV

General Provider Information

NPI Number	:	1457497406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JASON MICAH RAMOS D.C.

Provider Business Mailing Address
First Line	:	6785 W RUSSELL RD STE 140
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-1862
Country	:	US
Telephone Number	:	702-646-8400
Fax Number	:	702-920-8846

Provider Business Practice Location Address
First Line	:	6785 W RUSSELL RD STE 140
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-1862
Country	:	US
Telephone Number	:	702-646-8400
Fax Number	:	702-920-8846

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	07/08/2007

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