Provider Demographics
NPI:1144280843
Name:DIODATO, LOUIS FRANK III (DC LAC)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:FRANK
Last Name:DIODATO
Suffix:III
Gender:M
Credentials:DC LAC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:565 HWY 35
Mailing Address - Street 2:SUITE 4
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-5047
Mailing Address - Country:US
Mailing Address - Phone:732-747-2222
Mailing Address - Fax:732-747-3814
Practice Address - Street 1:565 HWY 35
Practice Address - Street 2:SUITE 4
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-5047
Practice Address - Country:US
Practice Address - Phone:732-747-2222
Practice Address - Fax:732-747-3814
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ38MC00327200111N00000X
NJ25MZ00037900171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111N00000XChiropractic ProvidersChiropractor
Not Answered171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
454876Medicare ID - Type Unspecified