MEDICARE: WELL SPRINGS CHIROPRACTIC

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	B01210	NV

General Provider Information

NPI Number	:	1558442582
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELL SPRINGS CHIROPRACTIC

Provider Business Mailing Address
First Line	:	3045 LAKESIDE DR
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89509-4502
Country	:	US
Telephone Number	:	775-219-6708
Fax Number	:

Provider Business Practice Location Address
First Line	:	3045 LAKESIDE DR
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89509-4502
Country	:	US
Telephone Number	:	775-219-6708
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ELIZABETH BEYER
Credential	:	RABBI, RN, JD
Telephone Number	:	775-219-6708

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	08/22/2020

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Directions to “WELL SPRINGS CHIROPRACTIC ” Practice Location

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