Colarusso, John Joseph

Colarusso, John Joseph is an individual health care provider with primary practice located at 12571 S Pasture Road Suite E, Riverton UT 84096-7037. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Colarusso, John Joseph can be contacted via phone (801) 878-3645.

Contact Information

Primary practice address
12571 S Pasture Road Suite E Riverton UT 84096-7037
Fax: (801) 878-3647
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 5072634-1202 Utah

Profile Details

NPI number 1891860789
LBN Legal business name Colarusso, John Joseph
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2006
Last updated May 2nd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891860789 NPPES
Utah Other 000061848 MEDICARE GROUP PTAN

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