Provider Demographics
NPI:1689733842
Name:CAFARO, JOELLE N (DC)
Entity Type:Individual
Prefix:DR
First Name:JOELLE
Middle Name:N
Last Name:CAFARO
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:PO BOX 4467
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22604-4467
Mailing Address - Country:US
Mailing Address - Phone:540-324-3254
Mailing Address - Fax:
Practice Address - Street 1:3052 VALLEY AVE
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-6478
Practice Address - Country:US
Practice Address - Phone:540-324-3254
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104555750111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA350001109Medicare ID - Type Unspecified
VAU82748Medicare UPIN