MEDICARE: DR. JAMES DAVID SALEM II DC

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	B936	NV

General Provider Information

NPI Number	:	1831362771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES DAVID SALEM II DC

Provider Business Mailing Address
First Line	:	8465 W SAHARA AVE STE 111-249
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-8960
Country	:	US
Telephone Number	:	702-509-5098
Fax Number	:	702-924-6356

Provider Business Practice Location Address
First Line	:	4270 S DECATUR BLVD STE A5
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-6801
Country	:	US
Telephone Number	:	702-509-5098
Fax Number	:	702-924-6356

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

Provider Enumeration Date	:	04/11/2008
Last Update Date	:	03/25/2020

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