Jonathon Edward Mainieri
RIDGE LINE CHIROPRACTIC LLC


Address: 9894 Rosemont Ave, Suite 103, Lone Tree, CO 80124-4103
Phone: 3037901450

Jonathon Edward Mainieri (NPI# 1760487482, PAC ID# 0345289070) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.

Physician Overview

Nation Provider ID (NPI) 1760487482
PAC ID by PECOS 0345289070
Professional Enrollment ID I20110315001030
Full Name Jonathon Edward Mainieri
Organization Legal Name RIDGE LINE CHIROPRACTIC LLC
Address 9894 Rosemont Ave
Suite 103
Lone Tree
CO 80124-4103
Phone Number 3037901450
Gender M
Credential DC
Medical School PALMER COLLEGE CHIROPRACTIC - WEST SUNNYVALE
Graduation Year 2000
Primary Specialty CHIROPRACTIC
Group Practice PAC ID 1456533223
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
9894 Rosemont Ave, Suite 103, Lone Tree, CO 80124-4103 3037901450 RIDGE LINE CHIROPRACTIC LLC
9894 Rosemont Ave, Lone Tree, CO 80124-4103 3037901450 RIDGE LINE CHIROPRACTIC LLC

Organization Information

Organization Legal Name RIDGE LINE CHIROPRACTIC LLC
Physicians 1

Office Location

Street Address 9894 ROSEMONT AVE
SUITE 103
City LONE TREE
State CO
Zip 80124-4103

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Competitor

Search similar physicians

City LONE TREE
Zip Code 80124
Specialty CHIROPRACTIC
City + Specialty LONE TREE + CHIROPRACTIC

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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