MEDICARE: DR. BRIAN LEE DAY 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	B01738	NV

General Provider Information

NPI Number	:	1760949358
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN LEE DAY D.C.

Provider Business Mailing Address
First Line	:	379 ALLA MARCIA LN
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89011-5433
Country	:	US
Telephone Number	:	702-274-9977
Fax Number	:

Provider Business Practice Location Address
First Line	:	1489 W WARM SPRINGS RD STE 125
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-7637
Country	:	US
Telephone Number	:	702-274-9977
Fax Number	:

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

Provider Enumeration Date	:	03/01/2019
Last Update Date	:	03/01/2019

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