Provider Demographics
NPI:1891741559
Name:GIOVANNI, M. MEGAN (DC)
Entity Type:Individual
Prefix:DR
First Name:M.
Middle Name:MEGAN
Last Name:GIOVANNI
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 1:145 DANIELSON PIKE
Mailing Address - Street 2:
Mailing Address - City:FOSTER
Mailing Address - State:RI
Mailing Address - Zip Code:02825-1425
Mailing Address - Country:US
Mailing Address - Phone:401-647-0400
Mailing Address - Fax:401-647-0450
Practice Address - Street 1:145 DANIELSON PIKE
Practice Address - Street 2:
Practice Address - City:FOSTER
Practice Address - State:RI
Practice Address - Zip Code:02825-1425
Practice Address - Country:US
Practice Address - Phone:401-647-0400
Practice Address - Fax:401-647-0450
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-25
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI254111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
R0564OtherGATEWAY HYPERTERMINAL
R0564OtherGATEWAY HYPERTERMINAL
T53825Medicare UPIN