Provider Demographics
NPI:1124147574
Name:PAULBICK, CHRIS J (DC)
Entity type:Individual
Prefix:
First Name:CHRIS
Middle Name:J
Last Name:PAULBICK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9766 RESTING PINES CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-6755
Mailing Address - Country:US
Mailing Address - Phone:702-596-4461
Mailing Address - Fax:702-254-0180
Practice Address - Street 1:2980 S JONES BLVD
Practice Address - Street 2:SUITE F
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-5656
Practice Address - Country:US
Practice Address - Phone:702-256-2225
Practice Address - Fax:702-254-0180
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2010-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB0073111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV34518Medicare ID - Type UnspecifiedUSED FOR MEDICARE
NV83947Medicare UPIN