Provider Demographics
NPI:1346224813
Name:ZANONI, JOSEPH (DC, RPH)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:ZANONI
Suffix:
Gender:M
Credentials:DC, RPH
Other - Prefix:
Other - First Name:JOSEPH
Other - Middle Name:
Other - Last Name:ZANONI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC, RPH
Mailing Address - Street 1:22206 VISNAW ST
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48081-1245
Mailing Address - Country:US
Mailing Address - Phone:586-206-1910
Mailing Address - Fax:
Practice Address - Street 1:29050 HARPER AVE
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48081-1200
Practice Address - Country:US
Practice Address - Phone:586-774-0091
Practice Address - Fax:586-774-6045
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAJZ007810111N00000X
MI5302028542183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No183500000XPharmacy Service ProvidersPharmacist