Provider Demographics
NPI:1902091747
Name:FIRST CHOICE CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:FIRST CHOICE CHIROPRACTIC LLC
Other - Org Name:MOBILE CHIROPRACTIC CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:G
Authorized Official - Last Name:SPICKELMIER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:702-736-8535
Mailing Address - Street 1:5642 S EASTERN AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-2310
Mailing Address - Country:US
Mailing Address - Phone:702-736-8535
Mailing Address - Fax:702-736-8520
Practice Address - Street 1:5642 S EASTERN AVE
Practice Address - Street 2:SUITE C
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-2310
Practice Address - Country:US
Practice Address - Phone:702-736-8535
Practice Address - Fax:702-736-8520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-13
Last Update Date:2007-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB00531111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty