Individual
DR. JOSEPH A TARGONSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC DM
Contact information
Practice address
305 EAST LUTZ ROAD, ARCHBOLD, OH 43502-0302
(419) 446-2591
(419) 446-0230
Mailing address
305 EAST LUTZ ROAD, PO BOX 302, ARCHBOLD, OH 43502-0302
(419) 446-2591
(419) 446-0230
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
345
OH
111N00000X
Chiropractor
37-00-3457
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000126294
ANTHEM
OH
05
—
0347119
—
OH
01
—
34103569100
W/ COMP
OH
Enumeration date
07/07/2006
Last updated
07/08/2007
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