Organization
JERRY A MANTONYA
Active
Other names
Mantonya Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY A MANTONYA D.C. (CLINIC OWNER)
(740) 928-7686
Entity
Organization
Contact information
Practice address
149 N HIGH ST, HEBRON, OH 43025-9669
(740) 928-7686
(740) 928-5585
Mailing address
149 N HIGH ST, HEBRON, OH 43025-9669
(740) 928-7686
(740) 928-5585
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
451
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000160597
ANTHEM BC BS
OH
05
—
2816813
—
OH
Enumeration date
02/01/2007
Last updated
04/17/2013
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