Joseph Charles Fiorino, D.C.
Individual provider Active NPI Chiropractor · Thayer, MO
NPI 1649375593 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1649375593
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CE003412 (MO)
- Practice address
- 139 E Walnut St
Town and Country Plaza
Thayer, MO 65791-1516 - Phone
- (417) 264-7610
- Fax
- (417) 264-7619
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CE003412 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CE003412 | MO | Yes |
Addresses
Primary practice location
139 E Walnut St
Town and Country Plaza
Thayer, MO 65791-1516
Mailing address
139 E Walnut St
Town and Country Plaza
Thayer, MO 65791-1516
Phone (417) 264-7610
Other providers in Thayer, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.