Provider Demographics
NPI:1609334135
Name:BATTLE BORN CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:BATTLE BORN CHIROPRACTIC, LLC
Other - Org Name:BATTLE BORN CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:WHITMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:775-848-4750
Mailing Address - Street 1:2060 CARLIN ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-4047
Mailing Address - Country:US
Mailing Address - Phone:775-848-4750
Mailing Address - Fax:
Practice Address - Street 1:6490 S MCCARRAN BLVD BLDG D1
Practice Address - Street 2:SUITE 28
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-6165
Practice Address - Country:US
Practice Address - Phone:775-826-2676
Practice Address - Fax:775-470-5402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-04
Last Update Date:2019-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty