Joseph Domenic Fortunato in Indianapolis - Chiropractor

Joseph Domenic Fortunato - NPI 1639157407

Joseph Domenic Fortunato is a Chiropractor in Indianapolis, Indiana. Joseph Domenic Fortunato practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Joseph Domenic Fortunato is 1639157407. The last update date is 2007-07-08.

Joseph Domenic Fortunato's current location address is 6301 N Keystone Ave, Indianapolis, Indiana. You can contact this provider via phone number 3172572225 and fax number 3172570646. The mailing address for Joseph Domenic Fortunato is 6301 N Keystone Ave, Indianapolis, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Joseph Domenic Fortunato
Address 6301 N Keystone Ave, Indianapolis, Indiana
Phone Number 3172572225
Fax Number 3172570646
Sole Proprietor X
Credentials D.D.

NPI Number Detail

NPI Number 1639157407
Provider Enumeration Date 2006-01-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 6301 N Keystone Ave
City Indianapolis
State Indiana (IN)
Post Code 462202156
Phone Number 3172572225
Fax Number 3172570646

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 8001070
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4355508 IN AETNA
91939 IN ANTHEM BC/BS

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FAQs about Joseph Domenic Fortunato

What is the Joseph Domenic Fortunato's unique identification number?

The Joseph Domenic Fortunato has been assigned the NPI (National Provider Identifier) Number 1639157407 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Joseph Domenic Fortunato's facilities are situated?

The facilities of Joseph Domenic Fortunato are physically located at the following address: 6301 N Keystone Ave, Indianapolis, IN, 462202156.

What is the area of specialization for Joseph Domenic Fortunato, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Joseph Domenic Fortunato is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1639157407 to Joseph Domenic Fortunato?

The Joseph Domenic Fortunato received its 1639157407 assignment from the Centers for Medicare & Medicaid Services on 2006-01-03.

As of what date was the information pertaining to Joseph Domenic Fortunato, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Joseph Domenic Fortunato, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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