Provider Demographics
NPI:1750665378
Name:DANNY JOE RUTZ DC PC
Entity Type:Organization
Organization Name:DANNY JOE RUTZ DC PC
Other - Org Name:FIVE STAR FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:JOE
Authorized Official - Last Name:RUTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:702-312-2225
Mailing Address - Street 1:1420 S. JONES BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146
Mailing Address - Country:US
Mailing Address - Phone:702-312-2225
Mailing Address - Fax:702-312-2230
Practice Address - Street 1:1420 S. JONES BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146
Practice Address - Country:US
Practice Address - Phone:702-312-2225
Practice Address - Fax:702-312-2230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-30
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB529111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty