Valencia-Lopez, Glaee G

Valencia-Lopez, Glaee G is an individual health care provider with primary practice located at 235 N Eastern Ave #119, Las Vegas NV 89101-4542. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Valencia-Lopez, Glaee G can be contacted via phone (702) 307-4004.

Contact Information

Primary practice address
235 N Eastern Ave #119 Las Vegas NV 89101-4542
Phone: (702) 307-4004
Fax: (702) 307-9535
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X B01163 Nevada

Profile Details

NPI number 1093784753
LBN Legal business name Valencia-Lopez, Glaee G
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Mar 3rd, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093784753 NPPES
Nevada MEDICAID 100508352

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