MEDICARE: SABOL CHIROPRACTIC PC

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

General Provider Information

NPI Number	:	1811339658
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SABOL CHIROPRACTIC PC

Provider Business Mailing Address
First Line	:	2804 SYNERGY ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-4193
Country	:	US
Telephone Number	:	702-272-9487
Fax Number	:	702-647-1502

Provider Business Practice Location Address
First Line	:	2804 SYNERGY ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-4193
Country	:	US
Telephone Number	:	702-272-9487
Fax Number	:	702-647-1502

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ERIC L SABOL
Credential	:	D.C.
Telephone Number	:	702-272-9487

Provider Enumeration Date	:	07/22/2013
Last Update Date	:	07/22/2013

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