Provider Demographics
NPI:1316015878
Name:NAEUN CHIROPRACTIC HEALTH CENTER
Entity Type:Organization
Organization Name:NAEUN CHIROPRACTIC HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:C
Authorized Official - Last Name:CHO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:702-739-9919
Mailing Address - Street 1:2389 RENAISSANCE DR
Mailing Address - Street 2:STE A
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-6106
Mailing Address - Country:US
Mailing Address - Phone:702-739-9919
Mailing Address - Fax:702-739-3404
Practice Address - Street 1:2389 RENAISSANCE DR
Practice Address - Street 2:STE A
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-6106
Practice Address - Country:US
Practice Address - Phone:702-739-9919
Practice Address - Fax:702-739-3404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2000048-205111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty