Provider Demographics
NPI:1801626858
Name:CORTAZZO FAMILY CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:CORTAZZO FAMILY CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER, OWNER, AO
Authorized Official - Prefix:DR
Authorized Official - First Name:DELANEY
Authorized Official - Middle Name:
Authorized Official - Last Name:CORTAZZO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-216-4002
Mailing Address - Street 1:1357 SHEARERS RD UNIT B
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28115-7778
Mailing Address - Country:US
Mailing Address - Phone:724-216-4002
Mailing Address - Fax:
Practice Address - Street 1:1357 SHEARERS RD UNIT B
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28115-7778
Practice Address - Country:US
Practice Address - Phone:724-216-4002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty