Provider Demographics
NPI:1720532294
Name:ALAN S BADER DC LTD A NEVADA PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:ALAN S BADER DC LTD A NEVADA PROFESSIONAL CORPORATION
Other - Org Name:CHIROPRACTIC HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:BADER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:775-829-7575
Mailing Address - Street 1:294 E MOANA LN
Mailing Address - Street 2:SUITE 28
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-4641
Mailing Address - Country:US
Mailing Address - Phone:775-829-7575
Mailing Address - Fax:775-829-7755
Practice Address - Street 1:294 E MOANA LN
Practice Address - Street 2:SUITE 28
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-4641
Practice Address - Country:US
Practice Address - Phone:775-829-7575
Practice Address - Fax:775-829-7755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-12
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB00567111N00000X
NVB01026111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV34422Medicare UPIN