Provider Demographics
NPI:1073873964
Name:FLEMING-MCRIMMON PROFESSIONAL CORP
Entity Type:Organization
Organization Name:FLEMING-MCRIMMON PROFESSIONAL CORP
Other - Org Name:PAMELA H. FLEMING, DC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:HAMBLEN
Authorized Official - Last Name:FLEMING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:702-641-3008
Mailing Address - Street 1:6859 S EASTERN AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-0002
Mailing Address - Country:US
Mailing Address - Phone:702-641-3008
Mailing Address - Fax:702-471-7580
Practice Address - Street 1:6859 S EASTERN AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-0002
Practice Address - Country:US
Practice Address - Phone:702-641-3008
Practice Address - Fax:702-471-7580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-24
Last Update Date:2012-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB361111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty