Provider Demographics
NPI:1053443671
Name:SCHLEUSNER, LARRY P (DC)
Entity Type:Individual
Prefix:DR
First Name:LARRY
Middle Name:P
Last Name:SCHLEUSNER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2091 E SAHARA AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89104-3829
Mailing Address - Country:US
Mailing Address - Phone:702-732-4044
Mailing Address - Fax:702-732-8396
Practice Address - Street 1:2091 E SAHARA AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-3829
Practice Address - Country:US
Practice Address - Phone:702-732-4044
Practice Address - Fax:702-732-8396
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB00079111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVWCHKS01Medicare ID - Type Unspecified
T75464Medicare UPIN