Provider Demographics
NPI:1043540891
Name:LOSCALZO, RITAMARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:RITAMARIE
Middle Name:
Last Name:LOSCALZO
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 1:9508 BELL MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78730-2711
Mailing Address - Country:US
Mailing Address - Phone:512-349-9677
Mailing Address - Fax:512-349-7962
Practice Address - Street 1:9508 BELL MOUNTAIN DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78730-2711
Practice Address - Country:US
Practice Address - Phone:512-349-9677
Practice Address - Fax:512-349-7962
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-29
Last Update Date:2009-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8408111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition