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NPI Code Detail

MEDICARE: ALIGN CHIROPRACTIC HENDERSON LLC

MEDICARE: ALIGN CHIROPRACTIC HENDERSON 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
1111N00000XChiropractorB01327NV

General Provider Information

NPI Number : 1508299462
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALIGN CHIROPRACTIC HENDERSON LLC
Provider Business Mailing Address
First Line : 9975 S EASTERN AVE
Second Line : SUITE 105A
City : LAS VEGAS
State : NV
Zip : 89183-7949
Country : US
Telephone Number : 702-293-9100
Fax Number : 702-293-9102
Provider Business Practice Location Address
First Line : 9975 S EASTERN AVE
Second Line : SUITE 105A
City : LAS VEGAS
State : NV
Zip : 89183-7949
Country : US
Telephone Number : 702-293-9100
Fax Number : 702-293-9102
Authorized Official
Title or Position : MANAGER
Name : RYAN KISSLING
Credential :
Telephone Number : 702-335-1709
Provider Enumeration Date : 08/14/2013
Last Update Date : 08/14/2013

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Directions to “ALIGN CHIROPRACTIC HENDERSON LLC ” Practice Location

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