Provider Demographics
NPI:1023001732
Name:SOLDANO, JOSEPH JOHN (DC,)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:JOHN
Last Name:SOLDANO
Suffix:
Gender:M
Credentials:DC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4343 MARCONI AVE
Mailing Address - Street 2:SUITE #5
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95821-4300
Mailing Address - Country:US
Mailing Address - Phone:916-486-2561
Mailing Address - Fax:916-486-2563
Practice Address - Street 1:4343 MARCONI AVE
Practice Address - Street 2:SUITE #5
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821-4300
Practice Address - Country:US
Practice Address - Phone:916-486-2561
Practice Address - Fax:916-486-2563
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC12064111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor