Provider Demographics
NPI:1265468359
Name:DEMARTINO, ROBERT V (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:V
Last Name:DEMARTINO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8985 S PECOS RD
Mailing Address - Street 2:STE. 4-B
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-7162
Mailing Address - Country:US
Mailing Address - Phone:702-643-9900
Mailing Address - Fax:702-643-8600
Practice Address - Street 1:8985 S PECOS RD
Practice Address - Street 2:STE. 4-B
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-7162
Practice Address - Country:US
Practice Address - Phone:702-643-9900
Practice Address - Fax:702-643-8600
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB02005111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor