Provider Demographics
NPI:1528047412
Name:ACIERNO, JOSEPH MARIO (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:MARIO
Last Name:ACIERNO
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 1:665 WYNGOLD DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-4207
Mailing Address - Country:US
Mailing Address - Phone:412-364-4660
Mailing Address - Fax:412-318-4016
Practice Address - Street 1:722 W INGOMAR RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-4370
Practice Address - Country:US
Practice Address - Phone:412-364-4660
Practice Address - Fax:412-318-4016
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-006819-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000544627OtherHIGHMARK BC BS
PA2065054OtherAETNA
PA544627Medicare ID - Type Unspecified
PAU647409Medicare UPIN