Provider Demographics
NPI:1700417557
Name:LUCA, CHAD (DC)
Entity Type:Individual
Prefix:
First Name:CHAD
Middle Name:
Last Name:LUCA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:CHAD
Other - Middle Name:
Other - Last Name:DOWNING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:950 HENRY ORR PKWY APT 1201
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-4023
Mailing Address - Country:US
Mailing Address - Phone:503-735-5708
Mailing Address - Fax:
Practice Address - Street 1:1000 CAUGHLIN XING STE 55
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89519-0621
Practice Address - Country:US
Practice Address - Phone:775-443-4304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-30
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB01822111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor