Provider Demographics
NPI:1134668585
Name:TORANZO, ERIC ALBERT (DC)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:ALBERT
Last Name:TORANZO
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 1:10040 W CHEYENNE AVE STE 170
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-7721
Mailing Address - Country:US
Mailing Address - Phone:702-426-5883
Mailing Address - Fax:
Practice Address - Street 1:4960 GHOST DANCE CIR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149-4794
Practice Address - Country:US
Practice Address - Phone:702-426-5883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-17
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB690111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition