MEDICARE: JOSEPH MOLFETTO DC

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	JM004741	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871668541
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH MOLFETTO DC

Provider Business Mailing Address
First Line	:	29055 FORD RD
Second Line	:
City	:	GARDEN CITY
State	:	MI
Zip	:	48135-2964
Country	:	US
Telephone Number	:	734-422-1980
Fax Number	:	734-422-2249

Provider Business Practice Location Address
First Line	:	29055 FORD RD
Second Line	:
City	:	GARDEN CITY
State	:	MI
Zip	:	48135-2964
Country	:	US
Telephone Number	:	734-422-1980
Fax Number	:	734-422-2249

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2006
Last Update Date	:	12/30/2010

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Directions to “ JOSEPH MOLFETTO DC” Practice Location

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