Provider Demographics
NPI:1508009861
Name:MARSOCCI FAMILY, PLLC
Entity Type:Organization
Organization Name:MARSOCCI FAMILY, PLLC
Other - Org Name:ACTIVE LIFESTYLE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NINETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARSOCCI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:704-257-6666
Mailing Address - Street 1:3140 N HIGHWAY 16
Mailing Address - Street 2:SUITE 106
Mailing Address - City:DENVER
Mailing Address - State:NC
Mailing Address - Zip Code:28037-7314
Mailing Address - Country:US
Mailing Address - Phone:704-257-6666
Mailing Address - Fax:704-257-6444
Practice Address - Street 1:3140 N HIGHWAY 16
Practice Address - Street 2:SUITE 106
Practice Address - City:DENVER
Practice Address - State:NC
Practice Address - Zip Code:28037-7314
Practice Address - Country:US
Practice Address - Phone:704-257-6666
Practice Address - Fax:704-257-6444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-15
Last Update Date:2009-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty