Provider Demographics
NPI:1003896309
Name:CONIGLIARO, JOSEPH R (BS, DC, FACMUAP)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:R
Last Name:CONIGLIARO
Suffix:
Gender:M
Credentials:BS, DC, FACMUAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 N PINE ST
Mailing Address - Street 2:
Mailing Address - City:BELOIT
Mailing Address - State:KS
Mailing Address - Zip Code:67420-2523
Mailing Address - Country:US
Mailing Address - Phone:785-342-0994
Mailing Address - Fax:
Practice Address - Street 1:301 N PINE ST
Practice Address - Street 2:
Practice Address - City:BELOIT
Practice Address - State:KS
Practice Address - Zip Code:67420-2523
Practice Address - Country:US
Practice Address - Phone:785-342-0994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-20
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-04718111N00000X
MO2018030044111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
627731OtherUHC ACN
2583399OtherAETNA PROVIDER
29483017OtherBCBS KC
7682235OtherAETNA REFERRAL
902504OtherBCBS KS
4400698OtherUHC