Provider Demographics
NPI:1134795271
Name:FERRANTE, MADISON ELIZABETH (DC)
Entity type:Individual
Prefix:DR
First Name:MADISON
Middle Name:ELIZABETH
Last Name:FERRANTE
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 1:2511 GARDEN RD STE C100
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-5333
Mailing Address - Country:US
Mailing Address - Phone:707-540-4403
Mailing Address - Fax:
Practice Address - Street 1:2511 GARDEN RD STE C100
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-5333
Practice Address - Country:US
Practice Address - Phone:831-899-5900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-30
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC36106111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty