MEDICARE: DR. PAUL ARTHUR BRINKERHOFF 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	B430	NV

General Provider Information

NPI Number	:	1497810105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL ARTHUR BRINKERHOFF D.C.

Provider Business Mailing Address
First Line	:	8960 W CHEYENNE AVE
Second Line	:	SUITE #110
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-8929
Country	:	US
Telephone Number	:	702-309-4878
Fax Number	:	702-658-7117

Provider Business Practice Location Address
First Line	:	4225 E SAHARA AVE
Second Line	:	SUITE #11
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-6328
Country	:	US
Telephone Number	:	702-641-8122
Fax Number	:	702-641-8142

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

Provider Enumeration Date	:	12/22/2006
Last Update Date	:	11/27/2007

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