Provider Demographics
NPI:1518096304
Name:WHEELER, DAVID (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:WHEELER
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 1:3400 KAUAI CT
Mailing Address - Street 2:SUITE 108
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-4847
Mailing Address - Country:US
Mailing Address - Phone:775-826-7246
Mailing Address - Fax:775-826-8870
Practice Address - Street 1:3400 KAUAI CT
Practice Address - Street 2:SUITE 108
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-4847
Practice Address - Country:US
Practice Address - Phone:775-826-7246
Practice Address - Fax:775-826-8870
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB671111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV37408Medicare ID - Type UnspecifiedMEDICARE