Provider Demographics
NPI:1992858419
Name:MUSACCHIO, JOSEPH V (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:V
Last Name:MUSACCHIO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2940 SENNA DRIVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-2810
Mailing Address - Country:US
Mailing Address - Phone:704-847-4044
Mailing Address - Fax:704-844-9404
Practice Address - Street 1:2940 SENNA DRIVE
Practice Address - Street 2:SUITE B
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-2810
Practice Address - Country:US
Practice Address - Phone:704-847-4044
Practice Address - Fax:704-844-9404
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2187111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor