Provider Demographics
NPI:1508893413
Name:FEROLITO, JANET MARIE (DC)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:MARIE
Last Name:FEROLITO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 JUDITH LN
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95350-4413
Mailing Address - Country:US
Mailing Address - Phone:209-577-1320
Mailing Address - Fax:209-577-4998
Practice Address - Street 1:205 JUDITH LN
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95350
Practice Address - Country:US
Practice Address - Phone:209-577-1320
Practice Address - Fax:209-577-4998
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-27
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21784111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA77-0429106OtherFED.ID #