Chad Allen, CNIM
Individual provider Active NPI Electroneurodiagnostic Specialist/Technologist · Las Vegas, NV
NPI 1457560898 · NPPES record last updated Aug 14, 2015
Key facts
- NPI
- 1457560898
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Electroneurodiagnostic Specialist/Technologist 246ZE0600X
- License
- 1326
- Practice address
- 9811 W Charleston Blvd # 2-641
Blvd #2-641
Las Vegas, NV 89117-7528 - Phone
- (855) 864-4322
- NPI assigned
- May 22, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | 1326 | Yes |
Addresses
Primary practice location
9811 W Charleston Blvd # 2-641
Blvd #2-641
Las Vegas, NV 89117-7528
Mailing address
15599 W Mackenzie Dr
Goodyear, AZ 85395-7779
Phone (480) 201-1843
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326 | Other | CNIM |
Other providers in Las Vegas, NV
- Camilo Allen
- Carl Allen
- Carline A. Allen
- Carolyn Allen
- Casey Scott Allen
- Chanell MJ Allen
- Charleigh Ann Allen
- Cheryl Lynn Allen
- Cynthia Allen
- Daniel Noble Allen
All providers in Las Vegas, NV · Electroneurodiagnostic Specialist/Technologist in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.