Provider Demographics
NPI:1407193618
Name:JOSEPH A. STAGNI, DC, LLC
Entity Type:Organization
Organization Name:JOSEPH A. STAGNI, DC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:STAGNI
Authorized Official - Suffix:
Authorized Official - Credentials:D C
Authorized Official - Phone:504-443-2225
Mailing Address - Street 1:3400 FLORIDA AVE
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-3647
Mailing Address - Country:US
Mailing Address - Phone:504-443-2225
Mailing Address - Fax:504-443-5639
Practice Address - Street 1:3400 FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-3647
Practice Address - Country:US
Practice Address - Phone:504-443-2225
Practice Address - Fax:504-443-5639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-08
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA852111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty