NPI 1366630543 · live from the CMS NPI Registry
Affiliated Healthcare, LLC
Chiropractor in Pahrump, NV. National Provider Identifier 1366630543, active.
NPI record
| NPI | 1366630543 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 1240 E State St, Ste 105, Pahrump, NV 89048 |
| Practice phone | 775-727-8900 |
| Mailing address | 2201 Postal Dr, Ste 8, Pahrump, NV 89048 |
| Enumerated | October 12, 2007 |
| Last updated | June 26, 2008 |
| Authorized official | Simmon Wilcox, Physician |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | — |
| Chiropractor primary | 111N00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.