Organization Name: | IANNETTA MEDICAL SERVICES INC |
NPI Number: | 1841205408 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES IANNETTA (PRESIDENT OWNER OF CORP) |
Mailing Address: | 287 E Main St Dover Foxcroft |
State: | ME US |
Postal Code: | 044261221 |
Phone Number: | 2075643120 |
Fax Number: | 2075642909 |
NPI Enumeration Date: | 07/30/2006 |
NPI Last Update Date: | 03/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | DC003198R |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |