Provider Demographics
NPI:1679738058
Name:ASSET RESOURCES LLC
Entity Type:Organization
Organization Name:ASSET RESOURCES LLC
Other - Org Name:ACE CHIROPRACTIC & OPTIMUM HEALTH FOR LIFE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:GERARD
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:BOZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:702-269-1540
Mailing Address - Street 1:10075 S EASTERN AVENUE
Mailing Address - Street 2:STE 110
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052
Mailing Address - Country:US
Mailing Address - Phone:702-614-8778
Mailing Address - Fax:702-614-0051
Practice Address - Street 1:10075 S EASTERN AVENUE
Practice Address - Street 2:STE 110
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052
Practice Address - Country:US
Practice Address - Phone:702-614-8778
Practice Address - Fax:702-614-0051
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASSET RESOURCES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-07-24
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB01024111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty