Provider Demographics
NPI:1245928233
Name:MASSARO CHIROPRACTIC
Entity type:Organization
Organization Name:MASSARO CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:MASSARO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:330-369-2225
Mailing Address - Street 1:106 SPYGLASS CT SE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44484-5602
Mailing Address - Country:US
Mailing Address - Phone:330-718-2871
Mailing Address - Fax:
Practice Address - Street 1:1515 E MARKET ST
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44483-6641
Practice Address - Country:US
Practice Address - Phone:330-369-2225
Practice Address - Fax:330-394-2224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-27
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty