Organization
HEALTHWISE CHIROPRACTIC CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN S KLEPTACH DC (OWNER)
(330) 494-7158
Entity
Organization
Contact information
Practice address
1170 S MAIN ST, NORTH CANTON, OH 44720-4272
(330) 494-7158
Mailing address
1170 S MAIN ST, NORTH CANTON, OH 44720-4272
(330) 494-7158
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2311
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000140409
BLUE CROSS BLUE SHIELD
OH
05
—
0239423
—
OH
01
—
299706158002
MEDICAL MUTUAL
OH
Enumeration date
01/23/2008
Last updated
02/18/2010
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