Provider Demographics
NPI:1679837132
Name:MEGNA, JOSEPH T (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:T
Last Name:MEGNA
Suffix:
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 1:3095 SOLANO AVE
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-4510
Mailing Address - Country:US
Mailing Address - Phone:707-226-5200
Mailing Address - Fax:707-226-5204
Practice Address - Street 1:3095 SOLANO AVE
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-4510
Practice Address - Country:US
Practice Address - Phone:707-226-5200
Practice Address - Fax:707-226-5204
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-29
Last Update Date:2012-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 19536111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor