Individual
DR. GERALD E NANNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7556 PEARL RD, MIDDLEBURG HEIGHTS, OH 44130-6431
(440) 239-0022
(440) 239-0024
Mailing address
7556 PEARL RD, MIDDLEBURG HEIGHTS, OH 44130-6431
(440) 239-0022
(440) 239-0024
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2553
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000141574
BLUE CROSS BLUE SHIELD
OH
05
—
2118514
—
OH
01
—
34-1892194
TAX IDENTIFICATION NUMBER
OH
Enumeration date
03/06/2007
Last updated
07/09/2007
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