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Individual
DR. JUSTIN RYAN HERCEG
Active
Individual
DR. JUSTIN RYAN HERCEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4108
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0078436
—
OH
01
—
1457691834
GROUP NPI
OH
01
—
1578872826
PERSONAL NPI
OH
01
—
H198420
GROUP PTAN
OH
01
—
H198421
INDIVIUAL PTAN
OH
Enumeration date
10/05/2010
Last updated
04/13/2026
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