Provider Demographics
NPI:1821184219
Name:WHOLISTIC HEALTH SERVICES INC
Entity Type:Organization
Organization Name:WHOLISTIC HEALTH SERVICES INC
Other - Org Name:MICHAEL A FLEMING DC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:FLEMING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:702-796-1915
Mailing Address - Street 1:6330 S EASTERN AVE
Mailing Address - Street 2:STE. 8
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-3168
Mailing Address - Country:US
Mailing Address - Phone:702-796-1915
Mailing Address - Fax:702-796-6151
Practice Address - Street 1:6330 S EASTERN AVE
Practice Address - Street 2:STE. 8
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-3168
Practice Address - Country:US
Practice Address - Phone:702-796-1915
Practice Address - Fax:702-796-6151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV300764111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
V38631Medicare PIN
U88576Medicare UPIN