Provider Demographics
NPI:1861678070
Name:EMMETT AUSTIN MCFERRIN
Entity Type:Organization
Organization Name:EMMETT AUSTIN MCFERRIN
Other - Org Name:MCFERRIN CHRIOPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMETT
Authorized Official - Middle Name:
Authorized Official - Last Name:MCFERRIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:775-359-9977
Mailing Address - Street 1:1001 ROCK BLVD
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89431-0931
Mailing Address - Country:US
Mailing Address - Phone:775-359-9977
Mailing Address - Fax:775-359-9978
Practice Address - Street 1:1001 ROCK BLVD
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-0931
Practice Address - Country:US
Practice Address - Phone:775-359-9977
Practice Address - Fax:775-359-9978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-17
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB00471111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV40224Medicare PIN