Provider Demographics
NPI:1750407698
Name:FERRANTELLI, JOSEPH RALPH (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:RALPH
Last Name:FERRANTELLI
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 1:8406 MASSACHUSETTS AVE
Mailing Address - Street 2:SUITE A2
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34653-3100
Mailing Address - Country:US
Mailing Address - Phone:727-992-8010
Mailing Address - Fax:
Practice Address - Street 1:8406 MASSACHUSETTS AVE
Practice Address - Street 2:SUITE A2
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-3100
Practice Address - Country:US
Practice Address - Phone:727-992-8010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2010-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7966111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK2544OtherGROUP IDENTIFIER
FLK2544OtherGROUP IDENTIFIER
FLU91095Medicare UPIN