MEDICARE: LIN & LIN CHIROPRACTIC INC

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	261QM2500X	Medical Specialty Clinic/Center	B973	NV
2	111N00000X	Chiropractor	B973	NV

General Provider Information

NPI Number	:	1720279052
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIN & LIN CHIROPRACTIC INC

Provider Business Mailing Address
First Line	:	4528 W CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-1502
Country	:	US
Telephone Number	:	702-382-7753
Fax Number	:	702-382-7753

Provider Business Practice Location Address
First Line	:	4528 W CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-1502
Country	:	US
Telephone Number	:	702-382-7753
Fax Number	:	702-382-7753

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. IRENE LIN
Credential	:	D.C.
Telephone Number	:	702-382-7753

Provider Enumeration Date	:	08/01/2007
Last Update Date	:	08/01/2007

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Directions to “LIN & LIN CHIROPRACTIC INC ” Practice Location

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