Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | B00424 | NV |
Y | 2251X0800X | Physical Therapist - Orthopedic | 3001 | NV |
NPI | 1053529347 |
---|---|
Provider Name | Dr. Jeffrey L Webb |
First Address | Las Vegas, NV 89102-3654 |
Second Address | Las Vegas, NV 89104-3843 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2007 |
Last Update Date | 28/09/2020 |