MEDICARE: FLEMING-MCRIMMON PROFESSIONAL CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	B361	NV

General Provider Information

NPI Number	:	1073873964
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLEMING-MCRIMMON PROFESSIONAL CORP

Provider Business Mailing Address
First Line	:	6859 S EASTERN AVE
Second Line	:	SUITE 102
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-0002
Country	:	US
Telephone Number	:	702-641-3008
Fax Number	:	702-471-7580

Provider Business Practice Location Address
First Line	:	6859 S EASTERN AVE
Second Line	:	SUITE 102
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-0002
Country	:	US
Telephone Number	:	702-641-3008
Fax Number	:	702-471-7580

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. PAMELA HAMBLEN FLEMING
Credential	:	D.C.
Telephone Number	:	702-641-3008

Provider Enumeration Date	:	05/24/2012
Last Update Date	:	05/24/2012

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