MEDICARE: LOW BACK & NECK PAIN CENTER LTD

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-825	NV

General Provider Information

NPI Number	:	1629277603
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOW BACK & NECK PAIN CENTER LTD

Provider Business Mailing Address
First Line	:	1928 E SAHARA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-3843
Country	:	US
Telephone Number	:	702-457-4727
Fax Number	:	702-457-7083

Provider Business Practice Location Address
First Line	:	1928 E SAHARA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-3843
Country	:	US
Telephone Number	:	702-457-4727
Fax Number	:	702-457-7083

Authorized Official
Title or Position	:	TREASURER/SECRETARY
Name	:	DR. JOHN CHARLES STRICKLAND
Credential	:	D.C.
Telephone Number	:	702-457-4727

Provider Enumeration Date	:	07/11/2007
Last Update Date	:	08/06/2010

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