Provider Demographics
NPI:1013016039
Name:MARIANO, JOANNE ELISABETH (DC)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:ELISABETH
Last Name:MARIANO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8080 WARD PARKWAY, SUITE 110
Mailing Address - Street 2:NEW ENGLAND CHIROPRACTIC, LLC
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114
Mailing Address - Country:US
Mailing Address - Phone:816-361-4461
Mailing Address - Fax:
Practice Address - Street 1:8080 WARD PARKWAY, SUITE 110
Practice Address - Street 2:NEW ENGLAND CHIROPRACTIC, LLC
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114
Practice Address - Country:US
Practice Address - Phone:816-333-5100
Practice Address - Fax:816-333-5100
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO006654111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U77653Medicare UPIN
MO000A224Medicare ID - Type Unspecified