Provider Demographics
NPI:1245570415
Name:BACHMAN, CHAD (LAC, EAMP)
Entity Type:Individual
Prefix:
First Name:CHAD
Middle Name:
Last Name:BACHMAN
Suffix:
Gender:M
Credentials:LAC, EAMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6630 S MCCARRAN BLVD STE B16
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-6136
Mailing Address - Country:US
Mailing Address - Phone:775-507-4740
Mailing Address - Fax:775-507-4739
Practice Address - Street 1:6630 S MCCARRAN BLVD STE B16
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-6136
Practice Address - Country:US
Practice Address - Phone:775-507-4740
Practice Address - Fax:775-507-4739
Is Sole Proprietor?:No
Enumeration Date:2013-02-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2003171100000X
CA15652171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist