Provider Demographics
NPI:1205856796
Name:APEX CHIROPRACTIC CENTER, LTD.
Entity type:Organization
Organization Name:APEX CHIROPRACTIC CENTER, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:ROELOFS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:775-359-1600
Mailing Address - Street 1:885 SPARKS BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89434-7933
Mailing Address - Country:US
Mailing Address - Phone:775-359-1600
Mailing Address - Fax:775-359-1611
Practice Address - Street 1:885 SPARKS BLVD STE 300
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89434-7933
Practice Address - Country:US
Practice Address - Phone:775-359-1600
Practice Address - Fax:775-359-1611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB881111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV100608Medicare ID - Type UnspecifiedMEDICARE PPN