Provider Demographics
NPI:1073654646
Name:MICHAEL, JOSEPH NAGUI (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:NAGUI
Last Name:MICHAEL
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 1:379 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WILKES BARRE
Mailing Address - State:PA
Mailing Address - Zip Code:18701-2228
Mailing Address - Country:US
Mailing Address - Phone:570-208-2800
Mailing Address - Fax:570-208-0138
Practice Address - Street 1:379 S MAIN ST
Practice Address - Street 2:
Practice Address - City:WILKES BARRE
Practice Address - State:PA
Practice Address - Zip Code:18701-2228
Practice Address - Country:US
Practice Address - Phone:570-208-2800
Practice Address - Fax:570-208-0138
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007411-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor