Provider Demographics
NPI:1518366798
Name:CHIPP, JARROD JOSEPH (DC)
Entity Type:Individual
Prefix:DR
First Name:JARROD
Middle Name:JOSEPH
Last Name:CHIPP
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 1:12080 CANTERBURY BELL CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89138-4504
Mailing Address - Country:US
Mailing Address - Phone:570-430-5811
Mailing Address - Fax:
Practice Address - Street 1:7664 W LAKE MEAD BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-6600
Practice Address - Country:US
Practice Address - Phone:702-635-8989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-14
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB01512111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor