Individual
DR. JONATHAN WILLIAM WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5875 S RAINBOW BLVD, LAS VEGAS, NV 89118-2554
(702) 248-6292
(702) 643-6292
Mailing address
5875 S RAINBOW BLVD STE 201, LAS VEGAS, NV 89118-2556
(702) 248-6292
(702) 643-6292
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
B01251
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B01251
NEVADA CHIROPRACTIC LICEN
NV
Enumeration date
05/29/2007
Last updated
03/18/2009
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