# D'AMATO CHIROPRACTIC CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770628695
- **Authorized official:** DR. ADRIAN A D'AMATO D.C. (OWNER)
- **Authorized official phone:** (330) 629-9292

## Contact information

- **Practice address:** 841 SOUTHWESTERN RUN, SUITE 2, YOUNGSTOWN, OH 44514-3688
- **Practice address phone:** (330) 629-9292
- **Practice address fax:** (330) 629-9339
- **Mailing address:** 841 SOUTHWESTERN RUN, SUITE 2, POLAND, OH 44514-3671
- **Mailing address phone:** (330) 629-9292
- **Mailing address fax:** (330) 629-9339

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 879 | OH | Yes |

## Other

- **Enumeration date:** 02/20/2007
- **Last updated:** 03/31/2015

## 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 | — |