MEDICARE: DR. ALEX BERNARD CHEN 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	B01351	NV
2	111N00000X	Chiropractor	DC-31339	CA

General Provider Information

NPI Number	:	1922332121
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEX BERNARD CHEN D.C.

Provider Business Mailing Address
First Line	:	3121 DARBY GARDENS CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-6789
Country	:	US
Telephone Number	:	702-596-2061
Fax Number	:	702-966-0883

Provider Business Practice Location Address
First Line	:	3047 S DECATUR BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-7144
Country	:	US
Telephone Number	:	702-212-5401
Fax Number	:

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

Provider Enumeration Date	:	09/22/2009
Last Update Date	:	09/22/2009

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