Healthcare Provider Details

I. General information

NPI: 1174556625
Provider Name (Legal Business Name): JOSEPH MICHAEL FIORANI D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

606 CHADDS FORD DR
CHADDS FORD PA
19317-7307
US

IV. Provider business mailing address

606 CHADDS FORD DR
CHADDS FORD PA
19317-7307
US

V. Phone/Fax

Practice location:
  • Phone: 610-558-1400
  • Fax: 610-558-1400
Mailing address:
  • Phone: 610-558-1400
  • Fax: 610-558-1400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License NumberDC008719
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier0007036523
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerAETNA ID#
# 2
Identifier2193689000
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerBLUE CROSS/KEYSTONE ID#

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: