Provider Demographics
NPI:1962820647
Name:NBC OPERATIONS, LLC
Entity Type:Organization
Organization Name:NBC OPERATIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:S
Authorized Official - Last Name:LURIE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:702-236-8500
Mailing Address - Street 1:PO BOX 36853
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89133-6853
Mailing Address - Country:US
Mailing Address - Phone:702-644-3333
Mailing Address - Fax:702-644-3336
Practice Address - Street 1:8678 SPRING MOUNTAIN RD STE 110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-4103
Practice Address - Country:US
Practice Address - Phone:702-644-3333
Practice Address - Fax:702-644-3336
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NBC HOLDCO, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-03-31
Last Update Date:2014-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB00904111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty