Provider Demographics
NPI:1689728834
Name:CATANZARO, JOHN A (ND)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:A
Last Name:CATANZARO
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5603 230TH ST SW
Mailing Address - Street 2:
Mailing Address - City:MTLK TERRACE
Mailing Address - State:WA
Mailing Address - Zip Code:98043
Mailing Address - Country:US
Mailing Address - Phone:425-697-6112
Mailing Address - Fax:425-697-3252
Practice Address - Street 1:5603 230TH ST SW
Practice Address - Street 2:
Practice Address - City:MTLK TERRACE
Practice Address - State:WA
Practice Address - Zip Code:98043
Practice Address - Country:US
Practice Address - Phone:425-697-6112
Practice Address - Fax:425-697-3252
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00000769175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath