Provider Demographics
NPI:1497810105
Name:BRINKERHOFF, PAUL ARTHUR (DC)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:ARTHUR
Last Name:BRINKERHOFF
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8960 W CHEYENNE AVE
Mailing Address - Street 2:SUITE #110
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-8929
Mailing Address - Country:US
Mailing Address - Phone:702-309-4878
Mailing Address - Fax:702-658-7117
Practice Address - Street 1:4225 E SAHARA AVE
Practice Address - Street 2:SUITE #11
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-6328
Practice Address - Country:US
Practice Address - Phone:702-641-8122
Practice Address - Fax:702-641-8142
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB430111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor