MEDICARE: PAULBICK CHIROPRACTIC, PLLC

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	B703	NV

General Provider Information

NPI Number	:	1467719633
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAULBICK CHIROPRACTIC, PLLC

Provider Business Mailing Address
First Line	:	2980 S JONES BLVD
Second Line	:	STE F
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-5656
Country	:	US
Telephone Number	:	702-994-1188
Fax Number	:	702-254-0180

Provider Business Practice Location Address
First Line	:	2980 S JONES BLVD
Second Line	:	STE F
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-5656
Country	:	US
Telephone Number	:	702-994-1188
Fax Number	:	702-254-0180

Authorized Official
Title or Position	:	OWNER
Name	:	CHRIS J PAULBICK
Credential	:	DC
Telephone Number	:	702-596-4461

Provider Enumeration Date	:	04/12/2012
Last Update Date	:	04/12/2012

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