Provider Demographics
NPI:1679834774
Name:BETTER HEALTH CHIROPRACTIC CLINIC, INC
Entity Type:Organization
Organization Name:BETTER HEALTH CHIROPRACTIC CLINIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:MARLENE
Authorized Official - Last Name:MCLAUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:774-747-4333
Mailing Address - Street 1:7600 GLADSTONE DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89506-1960
Mailing Address - Country:US
Mailing Address - Phone:775-747-4333
Mailing Address - Fax:775-324-2370
Practice Address - Street 1:5365 MAE ANNE AVE
Practice Address - Street 2:STE. B-2
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89523-1840
Practice Address - Country:US
Practice Address - Phone:775-747-4333
Practice Address - Fax:775-324-2370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-05
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB01017111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVU98720Medicare UPIN