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NPI Code Detail

MEDICARE: PINNACLE CHIROPRACTIC GROUP LLC

MEDICARE: PINNACLE CHIROPRACTIC GROUP 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
1111N00000XChiropractorB01206NV

General Provider Information

NPI Number : 1497953418
Entity Type Code : Organization
Provider Name (Legal Business Name) : PINNACLE CHIROPRACTIC GROUP LLC
Provider Business Mailing Address
First Line : 2575 W HORIZON RIDGE PKWY APT 2313
Second Line :
City : HENDERSON
State : NV
Zip : 89052-5936
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2821 W HORIZON RIDGE PKWY STE 111
Second Line :
City : HENDERSON
State : NV
Zip : 89052-4429
Country : US
Telephone Number : 702-641-3927
Fax Number :
Authorized Official
Title or Position : CO-OWNER
Name : DR. SCOTT SATO
Credential : D.C.
Telephone Number : 702-641-3927
Provider Enumeration Date : 07/11/2007
Last Update Date : 07/11/2007

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Directions to “PINNACLE CHIROPRACTIC GROUP LLC ” Practice Location

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