Doctor Name: | DR. BREAGAN MADEJEK |
NPI Number: | 1659799872 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | B01531 |
Business Practice Address: | 3455 E Lake Mead Blvd Suite #1 North Las Vegas, NV - 890307329 |
Business Phone Number: | 7026421300 |
Business Fax Number: | |
Mailing Address: | 3455 E Lake Mead Blvd, Suite #1 NORTH LAS VEGAS |
State: | NV |
Postal Code: | 890307329 |
Phone Number: | 7026421300 |
Fax Number: | |
NPI Enumeration Date: | 04/04/2014 |
NPI Last Update Date: | 04/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | B01531 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |