Provider Demographics
NPI:1700386562
Name:CALDERONE, ALEXANDRIA JULIANNA (DC)
Entity Type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:JULIANNA
Last Name:CALDERONE
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 1:132 MERZ BLVD
Mailing Address - Street 2:
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-2816
Mailing Address - Country:US
Mailing Address - Phone:330-670-9400
Mailing Address - Fax:330-670-9401
Practice Address - Street 1:132 MERZ BLVD
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-2816
Practice Address - Country:US
Practice Address - Phone:330-670-9400
Practice Address - Fax:330-670-9401
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-19
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH12411111N00000X
OH04988111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor