Provider Demographics
NPI:1295924991
Name:CRIFASI, JANINE (DC)
Entity type:Individual
Prefix:DR
First Name:JANINE
Middle Name:
Last Name:CRIFASI
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 1:100 STATE RD
Mailing Address - Street 2:
Mailing Address - City:DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02747-2936
Mailing Address - Country:US
Mailing Address - Phone:508-971-9080
Mailing Address - Fax:
Practice Address - Street 1:100 STATE RD
Practice Address - Street 2:
Practice Address - City:DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747-2936
Practice Address - Country:US
Practice Address - Phone:508-971-9080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-18
Last Update Date:2009-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3067111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
353440OtherCIGNA
RI33249-3OtherBCBS
RI414637OtherBLUECHIP
7252283OtherAETNA
7252283OtherAETNA