Provider Demographics
NPI:1851816128
Name:SALERNO, SALVATORE (ACUPUNCTURIST)
Entity Type:Individual
Prefix:
First Name:SALVATORE
Middle Name:
Last Name:SALERNO
Suffix:
Gender:M
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3204 10TH AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-2111
Mailing Address - Country:US
Mailing Address - Phone:612-508-5902
Mailing Address - Fax:
Practice Address - Street 1:3204 10TH AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-2111
Practice Address - Country:US
Practice Address - Phone:612-508-5902
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1430OtherACUPUMNCTURIST