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NPI Code Detail

MEDICARE: ERIC L. SABOL, D.C.

MEDICARE: ERIC L. SABOL, 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
1111N00000XChiropractorB510NV

General Provider Information

NPI Number : 1821157900
Entity Type Code : Organization
Provider Name (Legal Business Name) : ERIC L. SABOL, D.C.
Provider Business Mailing Address
First Line : 6136 W LAKE MEAD BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89108-2659
Country : US
Telephone Number : 702-647-9788
Fax Number : 702-647-6208
Provider Business Practice Location Address
First Line : 6136 W LAKE MEAD BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89108-2659
Country : US
Telephone Number : 702-647-9788
Fax Number : 702-647-6208
Authorized Official
Title or Position : OWNER
Name : DR. ERIC L. SABOL
Credential : D.C.
Telephone Number : 702-647-9788
Provider Enumeration Date : 12/06/2006
Last Update Date : 08/22/2020

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Directions to “ERIC L. SABOL, D.C. ” Practice Location

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