Provider Demographics
NPI:1225449762
Name:ARMAND GUILBEAULT CHARTERED
Entity Type:Organization
Organization Name:ARMAND GUILBEAULT CHARTERED
Other - Org Name:DR. ARMAND GILBO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARMAND
Authorized Official - Middle Name:R
Authorized Official - Last Name:GUILBEAULT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:702-362-1401
Mailing Address - Street 1:5320 W SAHARA AVE
Mailing Address - Street 2:#1
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-3306
Mailing Address - Country:US
Mailing Address - Phone:702-362-1401
Mailing Address - Fax:702-362-2673
Practice Address - Street 1:5320 W SAHARA AVE
Practice Address - Street 2:#1
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-3306
Practice Address - Country:US
Practice Address - Phone:702-362-1401
Practice Address - Fax:702-362-2673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-19
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB00078111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV001301469Medicare PIN
NVT67213Medicare UPIN