Provider Demographics
NPI:1629095625
Name:MARCHIORI, DENNIS MICHAEL (DC DACBR PHD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:MICHAEL
Last Name:MARCHIORI
Suffix:
Gender:M
Credentials:DC DACBR PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1420
Mailing Address - Street 2:
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-0024
Mailing Address - Country:US
Mailing Address - Phone:563-332-2411
Mailing Address - Fax:563-332-2411
Practice Address - Street 1:5221 KRISTI LANE
Practice Address - Street 2:
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-0024
Practice Address - Country:US
Practice Address - Phone:563-332-2411
Practice Address - Fax:563-332-2411
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA05580111NR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0200XChiropractic ProvidersChiropractorRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
U58367Medicare UPIN
IA52444Medicare ID - Type Unspecified