Organization Name: | LEADING EDGE CHIROPRACTIC, LTD. |
NPI Number: | 1144343450 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRYAN C HANSEN (OWNER) |
Mailing Address: | 630 Sierra Rose Dr Suite 1a Reno |
State: | NV US |
Postal Code: | 895112072 |
Phone Number: | 7752844900 |
Fax Number: | 7752844902 |
NPI Enumeration Date: | 04/10/2007 |
NPI Last Update Date: | 09/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | B01030 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NV |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |