Provider Demographics
NPI:1447435425
Name:TAYLOR CHIROPRACTIC
Entity type:Organization
Organization Name:TAYLOR CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRES.
Authorized Official - Prefix:DR
Authorized Official - First Name:WADE
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:775-753-7387
Mailing Address - Street 1:1810 PINION RD
Mailing Address - Street 2:
Mailing Address - City:ELKO
Mailing Address - State:NV
Mailing Address - Zip Code:89801-4393
Mailing Address - Country:US
Mailing Address - Phone:775-753-7387
Mailing Address - Fax:775-738-4918
Practice Address - Street 1:1810 PINION RD
Practice Address - Street 2:
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801-4393
Practice Address - Country:US
Practice Address - Phone:775-753-7387
Practice Address - Fax:775-738-4918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-08
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB01008111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
V38498Medicare PIN
U38496Medicare UPIN