Provider Demographics
NPI:1093776114
Name:JOSEPH C TROZZI PA
Entity Type:Organization
Organization Name:JOSEPH C TROZZI PA
Other - Org Name:TROZZI CHIROPRACTIC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:C
Authorized Official - Last Name:TROZZI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:207-623-3517
Mailing Address - Street 1:503 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:ME
Mailing Address - Zip Code:04330-3895
Mailing Address - Country:US
Mailing Address - Phone:207-623-3517
Mailing Address - Fax:207-623-3518
Practice Address - Street 1:503 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-3895
Practice Address - Country:US
Practice Address - Phone:207-623-3517
Practice Address - Fax:207-623-3518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-29
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR439111N00000X
MA358111N00000X
KY3419111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEZ46083OtherNATIONAL BC
MEMNT683OtherHARVARD PILGRIM
ME350053380OtherRAILROAD MEDICARE
ME005915OtherANTHEM BCBS
MEM21057OtherCIGNA
T31628Medicare UPIN
ME137634Medicare ID - Type Unspecified