Provider Demographics
NPI:1508357807
Name:WILLES, CADE HUNTER (DC)
Entity Type:Individual
Prefix:DR
First Name:CADE
Middle Name:HUNTER
Last Name:WILLES
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 1:664 14TH ST E
Mailing Address - Street 2:
Mailing Address - City:ELY
Mailing Address - State:NV
Mailing Address - Zip Code:89301-2569
Mailing Address - Country:US
Mailing Address - Phone:775-289-6800
Mailing Address - Fax:775-289-2579
Practice Address - Street 1:664 14TH ST E
Practice Address - Street 2:
Practice Address - City:ELY
Practice Address - State:NV
Practice Address - Zip Code:89301-2569
Practice Address - Country:US
Practice Address - Phone:775-289-6800
Practice Address - Fax:775-289-2579
Is Sole Proprietor?:No
Enumeration Date:2018-05-22
Last Update Date:2018-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB01696111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor