Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 08002583A | IN |
N | 111NN1001X | Nutrition | CHIR007127 | GA |
NPI | 1538339734 |
---|---|
Provider Name | Dr. Andrew James Giordano |
First Address | Carmel, IN 46032-7605 |
Second Address | Carmel, IN 46032-7605 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/03/2008 |
Last Update Date | 10/06/2011 |