MEDICARE: AARON NECK AND BACK INCORPORATED

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	B00813	NV

General Provider Information

NPI Number	:	1952588386
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AARON NECK AND BACK INCORPORATED

Provider Business Mailing Address
First Line	:	1204 S EASTERN AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-2047
Country	:	US
Telephone Number	:	702-731-0690
Fax Number	:

Provider Business Practice Location Address
First Line	:	1204 S EASTERN AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-2047
Country	:	US
Telephone Number	:	702-731-0690
Fax Number	:	702-434-2226

Authorized Official
Title or Position	:	OWNER/CHIROPRACTIC PHYSICIAN
Name	:	LIVLEEN KHURANA
Credential	:	D.C.
Telephone Number	:	702-731-0690

Provider Enumeration Date	:	01/29/2008
Last Update Date	:	01/29/2008

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