Provider Demographics
NPI:1396431490
Name:WITH A TWIST L.L.C
Entity type:Organization
Organization Name:WITH A TWIST L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:BERNARD
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:702-596-2061
Mailing Address - Street 1:3859 S VALLEY VIEW BLVD # 2-101
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-2909
Mailing Address - Country:US
Mailing Address - Phone:702-596-2061
Mailing Address - Fax:
Practice Address - Street 1:5980 S DURANGO DR # 113-114
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-1779
Practice Address - Country:US
Practice Address - Phone:702-518-8588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-12
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty