| Christopher R Houtakker Dc, Prof. Corp. | |
|
11155 S Eastern Ave, Suite 120, Henderson, NV 89052-4387 | |
| (702) 456-5900 | |
| (702) 898-0093 |
| Full Name | Christopher R Houtakker Dc, Prof. Corp. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 11155 S Eastern Ave, Henderson, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053580530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | B 927 (Nevada) | Primary |
| Provider Name | Christopher R Houtakker |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1154474443 PECOS PAC ID: 9830081165 Enrollment ID: I20040407001202 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher R Houtakker Dc, Prof. Corp. 11155 S Eastern Avenue, #120, Henderson, NV 89052-4387 Ph: (702) 456-5900 | Christopher R Houtakker Dc, Prof. Corp. 11155 S Eastern Ave, Suite 120, Henderson, NV 89052-4387 Ph: (702) 456-5900 |
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