Individual
DR. GREGG A. MANTONYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
919 N 21ST ST, NEWARK, OH 43055-2919
(740) 366-6601
(740) 366-6286
Mailing address
919 N 21ST ST, NEWARK, OH 43055-2919
(740) 366-6601
(740) 366-6286
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3023
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000211465
ANTHEM BC/BS
OH
05
—
2190016
—
OH
01
—
310811048031
CARESOURCE
OH
01
—
350050808
PALMETTO GBA RR MEDICARE
OH
Enumeration date
02/10/2006
Last updated
09/25/2007
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