Healthcare Provider Details

I. General information

NPI: 1699785576
Provider Name (Legal Business Name): MITCHELL J. FLEISCHER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 10/18/2024
Certification Date: 10/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3997 S MCCARRAN BLVD
RENO NV
89502-7510
US

IV. Provider business mailing address

3997 S MCCARRAN BLVD
RENO NV
89502-7510
US

V. Phone/Fax

Practice location:
  • Phone: 775-451-7325
  • Fax: 775-800-5857
Mailing address:
  • Phone: 775-451-7325
  • Fax: 775-800-5857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License NumberB00809
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberB00809
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: