| Spine And Wellness Medical Group Pllc | |
|
2780 Homestead Rd Ste 105, Pahrump, NV 89048-5464 | |
| (775) 727-7959 | |
| (775) 727-7960 |
| Full Name | Spine And Wellness Medical Group Pllc |
|---|---|
| Type | Facility |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 2780 Homestead Rd Ste 105, Pahrump, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245008952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NR0400X | Chiropractor - Rehabilitation | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
| Provider Name | Chad M Bullock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447642517 PECOS PAC ID: 1052630860 Enrollment ID: I20150429000970 |
| Provider Name | Creig L Christensen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1245646595 PECOS PAC ID: 6204127327 Enrollment ID: I20160622001869 |
| Provider Name | Rachel M Saenz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649622291 PECOS PAC ID: 9537448915 Enrollment ID: I20161108002376 |
| Provider Name | Reuben Thaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881890432 PECOS PAC ID: 1658438478 Enrollment ID: I20190425000157 |
| Provider Name | Blake Prall |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1457836348 PECOS PAC ID: 0244665933 Enrollment ID: I20200128000730 |
| Mailing Address | Practice Location Address |
|---|---|
| Spine And Wellness Medical Group Pllc 2780 Homestead Rd Ste 105, Pahrump, NV 89048-5464 Ph: (775) 727-7959 | Spine And Wellness Medical Group Pllc 2780 Homestead Rd Ste 105, Pahrump, NV 89048-5464 Ph: (775) 727-7959 |