MEDICARE: MANZOLILLO FAMILY CHIROPRACTIC CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1538372784
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MANZOLILLO FAMILY CHIROPRACTIC CENTER, INC.

Provider Business Mailing Address
First Line	:	1481 ATWOOD AVE
Second Line	:
City	:	JOHNSTON
State	:	RI
Zip	:	02919-4800
Country	:	US
Telephone Number	:	401-272-0888
Fax Number	:	401-272-0985

Provider Business Practice Location Address
First Line	:	1481 ATWOOD AVE
Second Line	:
City	:	JOHNSTON
State	:	RI
Zip	:	02919-4800
Country	:	US
Telephone Number	:	401-272-0888
Fax Number	:	401-272-0985

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. DENISE A. FRANZESE
Credential	:	DC
Telephone Number	:	401-272-0888

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	08/22/2020

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