Provider Demographics
NPI:1730487133
Name:BARBARA VAN HISE, DC, LLC
Entity Type:Organization
Organization Name:BARBARA VAN HISE, DC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:VAN HISE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:775-315-1795
Mailing Address - Street 1:377 S NEVADA ST
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89703-4290
Mailing Address - Country:US
Mailing Address - Phone:775-315-1795
Mailing Address - Fax:775-461-0326
Practice Address - Street 1:377 S NEVADA ST
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89703-4290
Practice Address - Country:US
Practice Address - Phone:775-315-1795
Practice Address - Fax:775-461-0326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-09
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB01250111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty