Individual
ADRIAN ANTHONY DAMATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
841 SOUTHWESTERN RUN, SUITE 2, POLAND, OH 44514-3671
(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
OH
05
—
0608882
—
OH
01
—
P00317051
RAILROAD MEDICARE
OH
Enumeration date
02/08/2007
Last updated
01/03/2014
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