Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 2161 | GA |
NPI | 1740359918 |
---|---|
Provider Name | Dr. Joseph J. Cipriano |
First Address | Atlanta, GA 30305-2618 |
Second Address | Atlanta, GA 30305-2618 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2006 |
Last Update Date | 10/02/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U30814 | (02) |