Provider Demographics
NPI:1285761460
Name:MILANO, JOHN DOCK (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:DOCK
Last Name:MILANO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3846 RAILROAD AVENUE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:94565-6528
Mailing Address - Country:US
Mailing Address - Phone:925-473-9496
Mailing Address - Fax:925-439-2829
Practice Address - Street 1:3846 RAILROAD AVENUE
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:CA
Practice Address - Zip Code:94565-6528
Practice Address - Country:US
Practice Address - Phone:925-473-9496
Practice Address - Fax:925-439-2829
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC11776111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0705712Medicaid
CA0705712Medicaid
DC0117760Medicare ID - Type Unspecified