Provider Demographics
NPI:1225193469
Name:INTEGRATED HEALTHCARE OF NEVADA
Entity Type:Organization
Organization Name:INTEGRATED HEALTHCARE OF NEVADA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:G
Authorized Official - Last Name:EASTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:702-252-7246
Mailing Address - Street 1:4517 W SAHARA AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-3760
Mailing Address - Country:US
Mailing Address - Phone:702-252-7246
Mailing Address - Fax:
Practice Address - Street 1:4517 W SAHARA AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-3760
Practice Address - Country:US
Practice Address - Phone:702-252-7246
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB00921111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV36657Medicare ID - Type Unspecified
NVU91056Medicare UPIN