Provider Demographics
NPI:1376784751
Name:THOMAS FERRIGNO CHIROPRACTIC CORPORATION
Entity Type:Organization
Organization Name:THOMAS FERRIGNO CHIROPRACTIC CORPORATION
Other - Org Name:CROSSROADS HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:FERRIGNO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:408-866-0300
Mailing Address - Street 1:420 MARATHON DR
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-0918
Mailing Address - Country:US
Mailing Address - Phone:408-866-0300
Mailing Address - Fax:408-866-0302
Practice Address - Street 1:420 MARATHON DR
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-0918
Practice Address - Country:US
Practice Address - Phone:408-866-0300
Practice Address - Fax:408-866-0302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-16
Last Update Date:2009-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC19451111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC019451Medicare PIN