Provider Demographics
NPI:1396148847
Name:FISHER FAMILY FIRST CHIROPRACTIC II LTD
Entity type:Organization
Organization Name:FISHER FAMILY FIRST CHIROPRACTIC II LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JACK
Authorized Official - Middle Name:
Authorized Official - Last Name:NOLLE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:775-287-7995
Mailing Address - Street 1:9476 DOUBLE R BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-2959
Mailing Address - Country:US
Mailing Address - Phone:775-284-3333
Mailing Address - Fax:775-284-3395
Practice Address - Street 1:9476 DOUBLE R BLVD STE A
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-2959
Practice Address - Country:US
Practice Address - Phone:775-284-3333
Practice Address - Fax:775-284-3395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-29
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV20081617138111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty