Provider Demographics
NPI:1972922052
Name:OZELLO, DONALD A (DC)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:A
Last Name:OZELLO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8871 W FLAMINGO RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-8757
Mailing Address - Country:US
Mailing Address - Phone:702-286-9040
Mailing Address - Fax:702-522-6805
Practice Address - Street 1:8871 W FLAMINGO RD
Practice Address - Street 2:SUITE 202
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-8757
Practice Address - Country:US
Practice Address - Phone:702-286-9040
Practice Address - Fax:702-522-6805
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-15
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB01192111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor