Healthcare Provider Details

I. General information

NPI: 1184754665
Provider Name (Legal Business Name): VINCENZO SINATRA DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 07/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1367 CARINTHIA CT
INCLINE VILLAGE NV
89451-7914
US

IV. Provider business mailing address

PO BOX 5328
INCLINE VILLAGE NV
89450-5328
US

V. Phone/Fax

Practice location:
  • Phone: 775-413-9287
  • Fax:
Mailing address:
  • Phone: 775-413-9287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH12103
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00601900
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number25MZ00012300
License Number StateNJ
# 4
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberB01247
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: