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PERFORMANCE CHIROPRACTIC ENTERPRISE LLC NPI 1619054699


NPI Information

NPI: 1619054699
Provider Name: PERFORMANCE CHIROPRACTIC ENTERPRISE LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
5480 RENO CORPORATE DR
SUITE 200
RENO, NV
ZIP 89511
Phone: (775) 853-0250
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PERFORMANCE CHIROPRACTIC ENTERPRISE LLC is a chiropractor in Reno, NV. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. PERFORMANCE CHIROPRACTIC ENTERPRISE LLC NPI is 1619054699. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5480 RENO CORPORATE DR
SUITE 200
RENO, NV
ZIP 89511-250
Phone: (775) 853-0250
Fax: (775) 853-0252

The provider's authorized official is Trista Dawn Gomez .
The authorized official title is Office Manager and has the following contact phone number (775) 853-0250.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 4/11/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorB01240NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U66688MEDICARE UPIN
230108MEDICARE ID-TYPE UNSPECIFIEDNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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