Individual
NATALIE JO MIGONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
33560 DETROIT RD, AVON, OH 44011-2030
(440) 937-4222
Mailing address
5704 BROAD BLVD, NORTH RIDGEVILLE, OH 44039-2212
(330) 414-2496
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4061
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000713612
ANTHEM BCBS
OH
Enumeration date
04/27/2010
Last updated
06/15/2011
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