Provider Demographics
NPI:1265534085
Name:OLIARO, JOSEPH (DOM,DN)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:OLIARO
Suffix:
Gender:M
Credentials:DOM,DN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1119 CALLE DEL CIELO
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87507-5075
Mailing Address - Country:US
Mailing Address - Phone:505-473-7315
Mailing Address - Fax:505-471-1824
Practice Address - Street 1:1119 CALLE DEL CIELO
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87507-5075
Practice Address - Country:US
Practice Address - Phone:505-473-7315
Practice Address - Fax:505-471-1824
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2009-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM177171100000X
NM0018174400000X, 172P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No174400000XOther Service ProvidersSpecialist
No172P00000XOther Service ProvidersNaprapath