| Dickinson Chiropractic Of Nevada, Llc | |
|
5960 Losee Rd Ste 124 North Las Vegas NV 89081-6202 | |
| (225) 281-0269 | |
| Not Available |
| Full Name | Dickinson Chiropractic Of Nevada, Llc |
|---|---|
| Speciality | Chiropractor |
| Location | 5960 Losee Rd Ste 124, North Las Vegas, Nevada |
| Authorized Official Name and Position | Peter Dickinson (OWNER) |
| Authorized Official Contact | 2252810269 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dickinson Chiropractic Of Nevada, Llc Po Box 83080 Baton Rouge LA 70884-3080 Ph: () - | Dickinson Chiropractic Of Nevada, Llc 5960 Losee Rd Ste 124 North Las Vegas NV 89081-6202 Ph: (225) 281-0269 |
| NPI Number | 1063287787 |
|---|---|
| Provider Enumeration Date | 11/22/2023 |
| Last Update Date | 11/22/2023 |
| Medicare PECOS PAC ID | 0749633816 |
|---|---|
| Medicare Enrollment ID | O20240125002296 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063287787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Mark L Rubin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1619419397 PECOS PAC ID: 6002805017 Enrollment ID: I20040506000808 |
| Provider Name | Maria Concepcion Velazquez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1609439447 PECOS PAC ID: 2668890039 Enrollment ID: I20200916002534 |
| Provider Name | Marissa Belle Robinson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1043921463 PECOS PAC ID: 2567832868 Enrollment ID: I20230103000543 |
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