Provider Demographics
NPI:1295867935
Name:FLOTO, JON K (DC)
Entity Type:Individual
Prefix:
First Name:JON
Middle Name:K
Last Name:FLOTO
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 1:210 S TAYLOR ST
Mailing Address - Street 2:
Mailing Address - City:FALLON
Mailing Address - State:NV
Mailing Address - Zip Code:89406-3226
Mailing Address - Country:US
Mailing Address - Phone:775-423-5878
Mailing Address - Fax:775-423-5878
Practice Address - Street 1:210 S TAYLOR ST
Practice Address - Street 2:
Practice Address - City:FALLON
Practice Address - State:NV
Practice Address - Zip Code:89406-3226
Practice Address - Country:US
Practice Address - Phone:775-423-5878
Practice Address - Fax:775-423-5878
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB00517111N00000X, 111NR0400X, 111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111N00000XChiropractic ProvidersChiropractor
Not Answered111NR0400XChiropractic ProvidersChiropractorRehabilitation
Not Answered111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVVDC517Medicare ID - Type UnspecifiedNON PROVIDER FOR MEDICARE