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JORGENSON & KOKA LLP

Chiropractic Providers Chiropractor

Provider NPI: 1457382863

Organization Information:
Organization Name:  JORGENSON & KOKA LLP
Organization is not Subpart
Authorized Official:  CRAIG M JORGENSON  MANAGING MEMBER  702-492-7208

Practice Location:
9975 S EASTERN AVE SUITE 110 LAS VEGAS, NV 89183-7949 US
Tel: 702-361-2273  Fax: 702-616-0657

Business Mailing Address:
PO BOX 530010  HENDERSON, NV 89053-0010 US
Tel: 702-492-7208  Fax: 702-616-0657

NPI Information:
NPI: 1457382863
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N111N00000XChiropractic Providers
Chiropractor
N204D00000XPhysicians
Neuromusculoskeletal Medicine & OMM
NV1915
N207Q00000XPhysicians
Family Medicine
NV1001
N207R00000XPhysicians
Internal Medicine
N208100000XPhysicians
Physical Medicine & Rehabilitation
NV1915
N2083T0002XPhysicians
Preventive Medicine
NV9529
N2083X0100XPhysicians
Preventive Medicine
NV1001
Y208D00000XPhysicians
General Practice
N225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
N225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
N225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
N247100000XTechnologists, Technicians & Other Technical Service Providers
Radiologic Technologist
N363AM0700XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
N363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner

Other Provider Identifiers:

IssuerNumberStateType
100508145NV05



American Medical Association 2012 taxonomy code information

Code: 208D00000X

Type:

Classification:



Definition:



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