Provider Demographics
NPI:1851351399
Name:TINBERG, MARCIA C (DC)
Entity Type:Individual
Prefix:DR
First Name:MARCIA
Middle Name:C
Last Name:TINBERG
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 1:5900 W CHARLESTON BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-1143
Mailing Address - Country:US
Mailing Address - Phone:702-259-6992
Mailing Address - Fax:702-259-9942
Practice Address - Street 1:5900 W CHARLESTON BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-1143
Practice Address - Country:US
Practice Address - Phone:702-259-6992
Practice Address - Fax:702-259-9942
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB603111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVNV2796OtherBLUE CROSS CLUE SHIELD
NVV31663Medicare ID - Type Unspecified
NVU53341Medicare UPIN