MEDICARE: NOEL GEORGE SENECAL 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	B-579	NV

General Provider Information

NPI Number	:	1629236625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOEL GEORGE SENECAL D.C.

Provider Business Mailing Address
First Line	:	7432 NECTAR CIR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-4926
Country	:	US
Telephone Number	:	702-364-5130
Fax Number	:	702-364-5612

Provider Business Practice Location Address
First Line	:	6125 W TROPICANA AVE STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-4699
Country	:	US
Telephone Number	:	702-364-5130
Fax Number	:	702-364-5612

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

Provider Enumeration Date	:	05/27/2008
Last Update Date	:	05/27/2008

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