Provider Demographics
NPI:1740359918
Name:CIPRIANO, JOSEPH J (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:J
Last Name:CIPRIANO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3025 MAPLE DR NE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-2618
Mailing Address - Country:US
Mailing Address - Phone:404-261-9522
Mailing Address - Fax:
Practice Address - Street 1:3025 MAPLE DR NE
Practice Address - Street 2:SUITE 2
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-2618
Practice Address - Country:US
Practice Address - Phone:404-261-9522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2161111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
U30814Medicare UPIN
35ZCBPNMedicare ID - Type Unspecified