Provider Demographics
NPI:1104974872
Name:CAPONE, DIANE M (DC)
Entity type:Individual
Prefix:DR
First Name:DIANE
Middle Name:M
Last Name:CAPONE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:775 PLEASANT ST STE 9
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02189-2355
Mailing Address - Country:US
Mailing Address - Phone:781-331-6040
Mailing Address - Fax:339-499-6055
Practice Address - Street 1:775 PLEASANT ST STE 9
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02189
Practice Address - Country:US
Practice Address - Phone:781-331-6040
Practice Address - Fax:339-499-6055
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2019-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MACH2337111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor