Ketchum, David C
Ketchum, David C is an individual health care provider with primary practice located at 2647 Box Canyon Dr , Las Vegas NV 89128-0450. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Ketchum, David C can be contacted via phone (702) 363-5575.Contact Information
Primary practice address
2647 Box Canyon Dr
Las Vegas NV 89128-0450
Phone: (702) 363-5575
Fax: (702) 646-1727
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Sports Physician | 111NS0005X | B842 | Nevada |
Profile Details
| NPI number | 1467458067 |
|---|---|
| LBN Legal business name | Ketchum, David C |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2005 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467458067 | NPPES |
| Nevada | Other | B842 | CHIR BD OF NV LICENSE |
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