# CARMEN J. CENTANNI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1992707988
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 711 | OH | Yes |

## Other

- **Enumeration date:** 08/10/2005
- **Last updated:** 12/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000116505 | ANTHEM BCBS | OH |
| 01 | — | 000000116505 | ANTHEM BC/BS | — |