Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 14826 | TX |
N | 111N00000X | Chiropractor | DC-008917 | PA |
N | 111NX0100X | Occupational Health | AJ-008757 | PA |
NPI | 1255301859 |
---|---|
Provider Name | Joseph Nicholas Dragonette |
First Address | Magnolia, TX 77354-1540 |
Second Address | Magnolia, TX 77354-1540 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2006 |
Last Update Date | 18/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
350046982 | RAILROAD MEDICARE (01) | PA |
DR1330601 | HIGHMARK BLUE SHIELD (01) | PA |
U75169 | (02) | PA |