Provider Demographics
NPI:1760660518
Name:MIGLIACCIO, JOSEPH CHRISTOPHER (DC)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:CHRISTOPHER
Last Name:MIGLIACCIO
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 1:105 N GOLIAD ST
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-2539
Mailing Address - Country:US
Mailing Address - Phone:817-421-4775
Mailing Address - Fax:817-421-4303
Practice Address - Street 1:105 N GOLIAD ST
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-2539
Practice Address - Country:US
Practice Address - Phone:972-961-0673
Practice Address - Fax:972-551-4888
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-04
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10822111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor