Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 1852 | MA |
NPI | 1154400125 |
---|---|
Provider Name | Dr. Joseph Manuel Sabino |
First Address | Danvers, MA 01923-3620 |
Second Address | Danvers, MA 01923-3620 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U53857 | (02) | MA |
Y36323 | (02) | MA |