Provider Demographics
NPI:1124216205
Name:GIUSTI, JOHN ANTHONY (DC)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:ANTHONY
Last Name:GIUSTI
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 1:211 E BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:GRANBURY
Mailing Address - State:TX
Mailing Address - Zip Code:76048-2247
Mailing Address - Country:US
Mailing Address - Phone:682-279-8030
Mailing Address - Fax:682-279-8030
Practice Address - Street 1:211 E BRIDGE ST
Practice Address - Street 2:
Practice Address - City:GRANBURY
Practice Address - State:TX
Practice Address - Zip Code:76048-2247
Practice Address - Country:US
Practice Address - Phone:682-279-8030
Practice Address - Fax:682-279-8030
Is Sole Proprietor?:No
Enumeration Date:2007-10-14
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14419111N00000X
NYX011414111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400069235Medicare PIN
NYA400019912Medicare PIN
NYA400033974Medicare PIN