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NPI Code Detail

MEDICARE: DECATUR & CRAIG CHIROPRACTIC

MEDICARE: DECATUR & CRAIG CHIROPRACTIC
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
1111N00000XChiropractorB519NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11093704421OTHERNVNPI INDIVIDUAL

General Provider Information

NPI Number : 1831369933
Entity Type Code : Organization
Provider Name (Legal Business Name) : DECATUR & CRAIG CHIROPRACTIC
Provider Business Mailing Address
First Line : 4925 W CRAIG RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-2730
Country : US
Telephone Number : 702-656-7460
Fax Number : 702-656-7461
Provider Business Practice Location Address
First Line : 4925 W CRAIG RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-2730
Country : US
Telephone Number : 702-656-7460
Fax Number : 702-656-7461
Authorized Official
Title or Position : DOCTOR/OWNER
Name : DR. RICKE W HALLGREN
Credential : DC
Telephone Number : 702-656-7460
Provider Enumeration Date : 03/04/2008
Last Update Date : 05/07/2012

Similar Medicare Providers

1093704421 — DR. RICK W. HALLGREN D.C.
Practice Location Address:
4925 W CRAIG RD
LAS VEGAS, NV
89130-2730
Practice Phone: 702-656-7460
Practice Fax: 702-656-7461
1811955354 — KRISTI A ASANTE MD
Practice Location Address:
4919 W CRAIG RD
LAS VEGAS, NV
89130-2730
Practice Phone: 725-220-8706
Practice Fax:
1376571455 — KARYN HARRIES DO
Practice Location Address:
4919 W CRAIG RD
LAS VEGAS, NV
89130-2730
Practice Phone: 725-220-8706
Practice Fax: 833-749-0366
1851321210 — GARY N BECKER DC
Practice Location Address:
4925 W CRAIG RD
LAS VEGAS, NV
89130-2730
Practice Phone: 702-656-7460
Practice Fax: 702-656-7461
1457415069 — DR. REBECCA J O'ROURKE M.D.
Practice Location Address:
4919 W CRAIG RD
LAS VEGAS, NV
89130-2730
Practice Phone: 725-220-8706
Practice Fax: 833-749-0366
1609109644 — DR. KASEY LAZ ABANONU JR. MD
Practice Location Address:
4919 W CRAIG RD
LAS VEGAS, NV
89130-2730
Practice Phone: 725-220-8706
Practice Fax: 833-749-0366

Directions to “DECATUR & CRAIG CHIROPRACTIC ” Practice Location

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