Provider Demographics
NPI:1184019739
Name:CAGGIANO, EMILY
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:CAGGIANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 RED RIVER DR
Mailing Address - Street 2:
Mailing Address - City:ADRIAN
Mailing Address - State:MI
Mailing Address - Zip Code:49221-3738
Mailing Address - Country:US
Mailing Address - Phone:517-215-9104
Mailing Address - Fax:
Practice Address - Street 1:209 RED RIVER DR
Practice Address - Street 2:
Practice Address - City:ADRIAN
Practice Address - State:MI
Practice Address - Zip Code:49221-3738
Practice Address - Country:US
Practice Address - Phone:517-215-9104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-31
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program