Provider Demographics
NPI:1013914076
Name:PARDEE, STUART FRANCIS (DC)
Entity Type:Individual
Prefix:
First Name:STUART
Middle Name:FRANCIS
Last Name:PARDEE
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 1:1698 COUNTY RD
Mailing Address - Street 2:
Mailing Address - City:MINDEN
Mailing Address - State:NV
Mailing Address - Zip Code:89423-4405
Mailing Address - Country:US
Mailing Address - Phone:775-782-5143
Mailing Address - Fax:775-782-2305
Practice Address - Street 1:1698 COUNTY RD
Practice Address - Street 2:
Practice Address - City:MINDEN
Practice Address - State:NV
Practice Address - Zip Code:89423-4405
Practice Address - Country:US
Practice Address - Phone:775-782-5143
Practice Address - Fax:775-782-2305
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-06
Last Update Date:2013-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB-268111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV20218OtherBLUE CROSS
NV350039057OtherRR MEDICARE
NV350039057OtherRR MEDICARE
NVV$$$$$$$$$Medicare PIN