Provider Demographics
NPI:1629277603
Name:LOW BACK & NECK PAIN CENTER LTD
Entity Type:Organization
Organization Name:LOW BACK & NECK PAIN CENTER LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER/SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:STRICKLAND
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:702-457-4727
Mailing Address - Street 1:1928 E SAHARA AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89104-3843
Mailing Address - Country:US
Mailing Address - Phone:702-457-4727
Mailing Address - Fax:702-457-7083
Practice Address - Street 1:1928 E SAHARA AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-3843
Practice Address - Country:US
Practice Address - Phone:702-457-4727
Practice Address - Fax:702-457-7083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-11
Last Update Date:2010-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB-825111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty