Provider Demographics
NPI:1962617415
Name:MAIORINO, PATRICIA MICHAELE (DC)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:MICHAELE
Last Name:MAIORINO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:MICHAELE
Other - Middle Name:
Other - Last Name:MAIORINO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:374 E YOSEMITE AVENUE
Mailing Address - Street 2:STE 100A
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-2216
Mailing Address - Country:US
Mailing Address - Phone:209-233-5597
Mailing Address - Fax:
Practice Address - Street 1:374 E YOSEMITE AVE
Practice Address - Street 2:STE 100A
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-2216
Practice Address - Country:US
Practice Address - Phone:209-233-5597
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26771111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA26771OtherCHIROPRACTIC LICENSE NUMB