Provider Demographics
NPI:1548331713
Name:MORELLI, JOSEPH G JR (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:G
Last Name:MORELLI
Suffix:JR
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 1:94-307 FARRINGTON HWY STE B5
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-2500
Mailing Address - Country:US
Mailing Address - Phone:808-671-2685
Mailing Address - Fax:808-671-9368
Practice Address - Street 1:94-307 FARRINGTON HWY STE B5
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-2500
Practice Address - Country:US
Practice Address - Phone:808-671-2685
Practice Address - Fax:808-671-9368
Is Sole Proprietor?:No
Enumeration Date:2006-11-10
Last Update Date:2017-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDC-124111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIH56537Medicare PIN