Provider Demographics
NPI:1487918801
Name:FITNESS PLUS
Entity type:Organization
Organization Name:FITNESS PLUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:OLIARO
Authorized Official - Suffix:
Authorized Official - Credentials:DOM DN
Authorized Official - Phone:505-473-7315
Mailing Address - Street 1:1119 CALLE DEL CIELO
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87507-5075
Mailing Address - Country:US
Mailing Address - Phone:505-473-7315
Mailing Address - Fax:505-471-1824
Practice Address - Street 1:1119 CALLE DEL CIELO
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87507-5075
Practice Address - Country:US
Practice Address - Phone:505-473-7315
Practice Address - Fax:505-471-1824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-29
Last Update Date:2012-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0005172P00000X
NM0018172P00000X
NM177171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No172P00000XOther Service ProvidersNaprapathGroup - Multi-Specialty