Provider Demographics
NPI:1871697557
Name:BARONCIANI, ERIC JOSEPH (DC)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:JOSEPH
Last Name:BARONCIANI
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 1:105 CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:JONESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28642-2116
Mailing Address - Country:US
Mailing Address - Phone:336-835-1997
Mailing Address - Fax:336-835-1996
Practice Address - Street 1:105 CHERRY ST
Practice Address - Street 2:
Practice Address - City:JONESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28642-2116
Practice Address - Country:US
Practice Address - Phone:336-835-1997
Practice Address - Fax:336-835-1996
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2583111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0836OtherBCBS
NC890836RMedicaid
NC803987OtherPARTNERS MEDICARE
NC803987OtherPARTNERS MEDICARE