1073729117 NPI number — JOSEPH FIORE DC PA

Table of content: (NPI 1073729117)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073729117 NPI number — JOSEPH FIORE DC PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JOSEPH FIORE DC PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
FIORE CHIROPRACTIC
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1073729117
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/12/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8021 RITCHIE HWY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PASADENA
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21122-1016
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-766-2322
Provider Business Mailing Address Fax Number:
410-766-4150

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8021 RITCHIE HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PASADENA
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21122-1016
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-766-2322
Provider Business Practice Location Address Fax Number:
410-766-4150
Provider Enumeration Date:
05/15/2007

Additional Information

Authorized Official

Authorized Official Last Name:
FIORE
Authorized Official First Name:
JOSEPH
Authorized Official Middle Name:
N
Authorized Official Title or Position:
CHIROPRACTOR
Authorized Official Telephone Number:
410-766-2322

Provider Taxonomy Codes

  • Taxonomy code: 111NX0800X , with the licence number:  S01292 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: F539 . This is a "FEDERAL BC BS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 41354401 . This is a "BCBS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




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