Provider Demographics
NPI:1922332121
Name:CHEN, ALEX BERNARD (DC)
Entity Type:Individual
Prefix:DR
First Name:ALEX
Middle Name:BERNARD
Last Name:CHEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3121 DARBY GARDENS CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-6789
Mailing Address - Country:US
Mailing Address - Phone:702-596-2061
Mailing Address - Fax:702-966-0883
Practice Address - Street 1:3047 S DECATUR BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-7144
Practice Address - Country:US
Practice Address - Phone:702-212-5401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-22
Last Update Date:2009-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB01351111N00000X
CADC-31339111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor