Provider Demographics
NPI:1003959388
Name:ADDITION 2 CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:ADDITION 2 CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:STUART
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:702-458-2332
Mailing Address - Street 1:2654 W HORIZON RIDGE PKWY
Mailing Address - Street 2:SUITE B1
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-2803
Mailing Address - Country:US
Mailing Address - Phone:702-458-2332
Mailing Address - Fax:702-458-2327
Practice Address - Street 1:2654 W HORIZON RIDGE PKWY
Practice Address - Street 2:SUITE B1
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-2803
Practice Address - Country:US
Practice Address - Phone:702-458-2332
Practice Address - Fax:702-458-2327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB00855111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVU89824Medicare UPIN