Provider Demographics
NPI:1033825294
Name:SOLOMON VALLEY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:SOLOMON VALLEY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:R
Authorized Official - Last Name:CONIGLIARO
Authorized Official - Suffix:
Authorized Official - Credentials:BS, DC, FACMUAP
Authorized Official - Phone:785-342-0994
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center