Provider Demographics
NPI:1104125087
Name:MIRAGLIA CHIROPRACTIC
Entity type:Organization
Organization Name:MIRAGLIA CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CATERINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MIRAGLIA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:508-646-8228
Mailing Address - Street 1:829 MAIN RD
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:MA
Mailing Address - Zip Code:02790-4315
Mailing Address - Country:US
Mailing Address - Phone:508-646-8228
Mailing Address - Fax:508-636-3741
Practice Address - Street 1:829 MAIN RD
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:MA
Practice Address - Zip Code:02790-4315
Practice Address - Country:US
Practice Address - Phone:508-646-8228
Practice Address - Fax:508-636-3741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-18
Last Update Date:2011-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty