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Organization
D'AMATO CHIROPRACTIC CLINIC INC
Active
Organization
D'AMATO CHIROPRACTIC CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADRIAN A D'AMATO D.C. (OWNER)
(330) 629-9292
Entity
Organization
Contact information
Practice address
841 SOUTHWESTERN RUN, SUITE 2, YOUNGSTOWN, OH 44514-3688
(330) 629-9292
(330) 629-9339
Mailing address
841 SOUTHWESTERN RUN, SUITE 2, POLAND, OH 44514-3671
(330) 629-9292
(330) 629-9339
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
879
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000136265
ANTHEM
—
01
—
262210080-00
WORKER'S COMPENSATION
OH
01
—
262210080002
MEDICAL MUTUAL
OH
05
—
3055241
—
OH
01
—
9389701
MEDICARE
—
Enumeration date
02/20/2007
Last updated
03/31/2015
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