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Individual

DR. JON TIMOTHY TRUMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
131 E FRONT ST, PEMBERVILLE, OH 43450-0415
(419) 287-3216
(419) 287-3216
Mailing address
PO BOX 415, PEMBERVILLE, OH 43450-0415
(419) 287-3216
(419) 287-3216

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
50
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000127623
ANTHEM BCBS
OH
05
0197586
OH
01
02785
PARAMOUNT HEALTH CARE
OH
01
34112145400
BWC
OH
01
341121454003
MEDICAL MUTUAL
OH
Enumeration date
02/09/2007
Last updated
12/06/2011
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