Provider Demographics
NPI:1225153638
Name:NITTI, JOSEPH JOHN JR (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:JOHN
Last Name:NITTI
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:312 SHAWNEEHAW AVE
Mailing Address - Street 2:
Mailing Address - City:BANNER ELK
Mailing Address - State:NC
Mailing Address - Zip Code:28604-9719
Mailing Address - Country:US
Mailing Address - Phone:561-585-6150
Mailing Address - Fax:561-585-6134
Practice Address - Street 1:26 DEER RUN LN
Practice Address - Street 2:
Practice Address - City:BANNER ELK
Practice Address - State:NC
Practice Address - Zip Code:28604-6138
Practice Address - Country:US
Practice Address - Phone:828-898-9000
Practice Address - Fax:828-898-9000
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLCH7852111N00000X
NC3964111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor