Organization
ANTONINO ENTERPRISES LLC
Active
Parent organization
ANTONINO ENTERPRISES LLC
Other names
Vitale Chiropractic
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANTONINO ENTERPRISES LLC
Authorized official
DR. ANTHONY THOMAS VITALE D.C. (OWNER)
(270) 522-3957
Entity
Organization
Contact information
Practice address
211 COMMERCE ST, CADIZ, KY 42211-9225
(270) 522-3957
Mailing address
211 COMMERCE ST, CADIZ, KY 42211-9225
(270) 522-3957
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
5157
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487968772
NPI
KY
Enumeration date
07/29/2010
Last updated
08/03/2011
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