Provider Demographics
NPI:1871715292
Name:MARTELLO, NED JOSEPH (DC)
Entity type:Individual
Prefix:DR
First Name:NED
Middle Name:JOSEPH
Last Name:MARTELLO
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 1:942 ONEAL LN
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-1807
Mailing Address - Country:US
Mailing Address - Phone:225-754-7777
Mailing Address - Fax:225-754-7795
Practice Address - Street 1:942 ONEAL LN
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-1807
Practice Address - Country:US
Practice Address - Phone:225-754-7777
Practice Address - Fax:225-754-7795
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2017-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA865111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1937436Medicaid
LA56547Medicare ID - Type Unspecified