Provider Demographics
NPI:1790363927
Name:JAIME DIORIO-PHILLIPS, PLLC
Entity Type:Organization
Organization Name:JAIME DIORIO-PHILLIPS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAIME
Authorized Official - Middle Name:
Authorized Official - Last Name:DIORIO-PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:702-252-7246
Mailing Address - Street 1:7380 W SAHARA AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-2761
Mailing Address - Country:US
Mailing Address - Phone:702-252-7246
Mailing Address - Fax:702-251-9650
Practice Address - Street 1:7380 W SAHARA AVE STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-2761
Practice Address - Country:US
Practice Address - Phone:702-252-7246
Practice Address - Fax:702-251-9650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-30
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty