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TERRY WONG D C LLC NPI 1275817744


NPI Information

NPI: 1275817744
Provider Name: TERRY WONG D C LLC

Former Legal Business Name: TERRY WONG D C LLC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
3300 S DECATUR BLVD STE 5
LAS VEGAS, NV
ZIP 89102
Phone: (702) 871-5556
Get Directions

TERRY WONG D C LLC is a chiropractor in Las Vegas, 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. TERRY WONG D C LLC NPI is 1275817744. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Terry Wong D C Llc.

The provider's business location address is:

3300 S DECATUR BLVD STE 5
LAS VEGAS, NV
ZIP 89102-147
Phone: (702) 871-5556
Fax: (702) 871-5594

The provider's authorized official is Terry L Wong .
The authorized official title is President and has the following contact phone number (702) 871-5556.

The enumeration date for this NPI number is 10/3/2011 and was last updated on 10/3/2011.


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
1111N00000XChiropractor19363CALIFORNIANo
2111N00000XChiropractorB00691NEVADAYes

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
131533MEDICARE PINNEVADA

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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