Provider Demographics
NPI:1497232953
Name:COLASUONNO, JOSEPH NICHOLAS II (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:NICHOLAS
Last Name:COLASUONNO
Suffix:II
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:627 N MAIN ST STE 2
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28786-3819
Mailing Address - Country:US
Mailing Address - Phone:716-495-2264
Mailing Address - Fax:
Practice Address - Street 1:627 N MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:WAYNESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28786-3819
Practice Address - Country:US
Practice Address - Phone:716-495-2264
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-26
Last Update Date:2018-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4923111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor