Provider Demographics
NPI:1083614945
Name:NOAKES, NATHAN DAVID (DC)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:DAVID
Last Name:NOAKES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1591 N BUFFALO DR
Mailing Address - Street 2:SUITE #120
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-3632
Mailing Address - Country:US
Mailing Address - Phone:702-838-8988
Mailing Address - Fax:702-838-3903
Practice Address - Street 1:1591 N BUFFALO DR
Practice Address - Street 2:SUITE #120
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-3632
Practice Address - Country:US
Practice Address - Phone:702-838-8988
Practice Address - Fax:702-838-3903
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB02010111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor