PAC CHIROPRACTIC LLC NPI 1437492899

NPI Information

NPI: 1437492899
Provider Name: PAC CHIROPRACTIC LLC

Former Legal Business Name: PACIFIC CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
204 W PACIFIC AVE
HENDERSON, NV
ZIP 89015
Phone: (702) 856-0665
Get Directions

PAC CHIROPRACTIC LLC is a chiropractor in Henderson, 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. PAC CHIROPRACTIC LLC NPI is 1437492899. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Pacific Chiropractic.

The provider's business location address is:

204 W PACIFIC AVE
HENDERSON, NV
ZIP 89015-376
Phone: (702) 856-0665
Fax: (702) 675-8239

The provider's authorized official is Mary C Heinrich .
The authorized official title is Office Manager and has the following contact phone number (702) 856-0665.

The enumeration date for this NPI number is 4/3/2013 and was last updated on 4/6/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		B895	NEVADA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	003602035	MEDICAID	NEVADA
2	CC3751	OTHER	NEVADA	BLUE CROSS/BLUE SHIELD
3	7835292	OTHER	NEVADA	AETNA
4	V35876	MEDICARE PIN	NEVADA
5	350054434	OTHER	NEVADA	RAILROAD MEDICARE
6	11384445	OTHER	NEVADA	CAQH

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

NPI Synchronization or Removal

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