Provider Demographics
NPI:1417987132
Name:PRALL, ERIC M (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:M
Last Name:PRALL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1527 W CRAIG RD
Mailing Address - Street 2:STE 3
Mailing Address - City:N LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032-0231
Mailing Address - Country:US
Mailing Address - Phone:214-546-5936
Mailing Address - Fax:702-642-0882
Practice Address - Street 1:1527 W CRAIG RD
Practice Address - Street 2:STE 3
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-0231
Practice Address - Country:US
Practice Address - Phone:214-546-5936
Practice Address - Fax:702-642-0882
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2017-05-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX8169111N00000X
NVB00749111N00000X
WI5168-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor