Provider Demographics
NPI:1699911610
Name:LEFEVER, JAMES ANDREW (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ANDREW
Last Name:LEFEVER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9525 HILLWOOD DR STE 100
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89134-0596
Mailing Address - Country:US
Mailing Address - Phone:702-642-5446
Mailing Address - Fax:702-642-5441
Practice Address - Street 1:9525 HILLWOOD DR STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89134-0596
Practice Address - Country:US
Practice Address - Phone:702-642-5446
Practice Address - Fax:702-642-5441
Is Sole Proprietor?:No
Enumeration Date:2008-12-22
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB01299111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVBM178ZMedicare PIN