Healthcare Provider Details

I. General information

NPI: 1346441425
Provider Name (Legal Business Name): ADRIAN S EMM DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 RIO VISTA ST
FALLON NV
89406-5463
US

IV. Provider business mailing address

1001 RIO VISTA ST
FALLON NV
89406-5463
US

V. Phone/Fax

Practice location:
  • Phone: 775-423-3634
  • Fax: 775-423-3246
Mailing address:
  • Phone: 775-423-3634
  • Fax: 775-423-3246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberB01211
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHIA1186
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: