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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-DIRECTOR)
(740) 366-6601
Entity
Organization

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
3023
OH
111N00000X
Chiropractor
3530
OH
111N00000X
Chiropractor
3567
OH
111N00000X
Chiropractor
Primary
451
OH
111N00000X
Chiropractor
870
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000160597
ANTHEM BC BS
OH
05
0112381
OH
Enumeration date
01/23/2007
Last updated
12/02/2011
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