Provider Demographics
NPI:1548608615
Name:JOANN MONTEIRO, D.C., P.C.
Entity Type:Organization
Organization Name:JOANN MONTEIRO, D.C., P.C.
Other - Org Name:SEEKONK FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOANN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MONTEIRO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:508-336-0929
Mailing Address - Street 1:572 ARCADE AVE
Mailing Address - Street 2:
Mailing Address - City:SEEKONK
Mailing Address - State:MA
Mailing Address - Zip Code:02771-3244
Mailing Address - Country:US
Mailing Address - Phone:508-336-0929
Mailing Address - Fax:508-336-0701
Practice Address - Street 1:572 ARCADE AVE
Practice Address - Street 2:
Practice Address - City:SEEKONK
Practice Address - State:MA
Practice Address - Zip Code:02771-3244
Practice Address - Country:US
Practice Address - Phone:508-336-0929
Practice Address - Fax:508-336-0701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-11
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MACH1883111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty