Provider Demographics
NPI:1366816936
Name:FLESIK, SIMONE N (DC)
Entity Type:Individual
Prefix:DR
First Name:SIMONE
Middle Name:N
Last Name:FLESIK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1308 GRAHAM AVE
Mailing Address - Street 2:
Mailing Address - City:WINDBER
Mailing Address - State:PA
Mailing Address - Zip Code:15963-1708
Mailing Address - Country:US
Mailing Address - Phone:814-915-2084
Mailing Address - Fax:
Practice Address - Street 1:1308 GRAHAM AVE
Practice Address - Street 2:
Practice Address - City:WINDBER
Practice Address - State:PA
Practice Address - Zip Code:15963-1708
Practice Address - Country:US
Practice Address - Phone:814-915-2084
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-19
Last Update Date:2018-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010888111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor