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NPI Code Detail

MEDICARE: DR. JOE W CAPORGNO D.C.

MEDICARE: DR. JOE W CAPORGNO D.C.
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
1111N00000XChiropractorDC 28348CA

General Provider Information

NPI Number : 1821194648
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOE W CAPORGNO D.C.
Provider Business Mailing Address
First Line : 3609 OAKDALE RD
Second Line : SIUTE 5
City : MODESTO
State : CA
Zip : 95357-0718
Country : US
Telephone Number : 209-551-8888
Fax Number : 209-551-0412
Provider Business Practice Location Address
First Line : 3609 OAKDALE RD
Second Line : SIUTE 5
City : MODESTO
State : CA
Zip : 95357-0718
Country : US
Telephone Number : 209-551-8888
Fax Number : 209-551-0412
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2006
Last Update Date : 07/08/2007

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