MEDICARE: DR. TAMMY M DICEGLIE 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
1	111N00000X	Chiropractor	20954	CA

General Provider Information

NPI Number	:	1972677011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TAMMY M DICEGLIE D.C.

Provider Business Mailing Address
First Line	:	1305 W BULLARD AVE STE 3
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-2469
Country	:	US
Telephone Number	:	559-226-2185
Fax Number	:	559-225-2952

Provider Business Practice Location Address
First Line	:	1305 W BULLARD AVE STE 3
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-2469
Country	:	US
Telephone Number	:	559-226-2185
Fax Number	:	559-225-2952

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

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	01/21/2026

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