Provider Demographics
NPI:1639271315
Name:FLEMING, BARBARA JO (DC, LAC)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:JO
Last Name:FLEMING
Suffix:
Gender:F
Credentials:DC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1414 E THOUSAND OAKS BLVD STE 211
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91362-6294
Mailing Address - Country:US
Mailing Address - Phone:805-449-1443
Mailing Address - Fax:805-497-9321
Practice Address - Street 1:1414 E THOUSAND OAKS BLVD STE 211
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91362-6294
Practice Address - Country:US
Practice Address - Phone:805-449-1443
Practice Address - Fax:805-497-9321
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC21968111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor