Organization
DECATUR & CRAIG CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICKE W HALLGREN DC (DOCTOR/OWNER)
(702) 656-7460
Entity
Organization
Contact information
Practice address
4925 W CRAIG RD, LAS VEGAS, NV 89130-2730
(702) 656-7460
(702) 656-7461
Mailing address
4925 W CRAIG RD, LAS VEGAS, NV 89130-2730
(702) 656-7460
(702) 656-7461
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
B519
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093704421
NPI INDIVIDUAL
NV
Enumeration date
03/04/2008
Last updated
05/07/2012
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