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Individual
DR. SHANNON MARINIELLO
Active
Individual
DR. SHANNON MARINIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00505700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050005057NJ01
ANTHEM HEALTH
NJ
01
—
0798375000
AMERIHEALTH
NJ
01
—
1047999
AETNA HMO
NJ
01
—
1126013
HORIZON NJ HEALTH
NJ
01
—
1996718
UNITED HEALTHCARE
NJ
01
—
24878
UNIVERSITY HEALTH PLANS
NJ
01
—
31356
MASTERCARE
NJ
01
—
5362694
AETNA
NJ
01
—
5899591
GHI
NJ
01
—
5936399004
CIGNA
NJ
05
—
7722702
—
NJ
01
—
96301
AMERIGROUP
NJ
01
—
P2084184
OXFORD
NJ
01
—
X2D241
EMPIRE
NJ
Enumeration date
01/03/2006
Last updated
07/21/2022
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