Provider Demographics
NPI:1477726925
Name:JERIAN, ANTRANIG V (DC)
Entity Type:Individual
Prefix:MR
First Name:ANTRANIG
Middle Name:V
Last Name:JERIAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1999 W SUNSET RD STE 4
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-2342
Mailing Address - Country:US
Mailing Address - Phone:702-454-9700
Mailing Address - Fax:
Practice Address - Street 1:690 N VALLE VERDE DR
Practice Address - Street 2:SUITE 4
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-2397
Practice Address - Country:US
Practice Address - Phone:702-454-9700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-04
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB01173111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor