Provider Demographics
NPI:1356699698
Name:JOHN V. DEMAIO DC PC
Entity type:Organization
Organization Name:JOHN V. DEMAIO DC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR- OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:V
Authorized Official - Last Name:DEMAIO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:410-721-2222
Mailing Address - Street 1:2391 BRANDERMILL BLVD STE 105
Mailing Address - Street 2:
Mailing Address - City:GAMBRILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21054-1985
Mailing Address - Country:US
Mailing Address - Phone:410-721-2222
Mailing Address - Fax:410-721-2437
Practice Address - Street 1:2391 BRANDERMILL BLVD STE 105
Practice Address - Street 2:
Practice Address - City:GAMBRILLS
Practice Address - State:MD
Practice Address - Zip Code:21054-1985
Practice Address - Country:US
Practice Address - Phone:410-721-2222
Practice Address - Fax:410-721-2437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-16
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty
No111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Multi-Specialty