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Organization

D'AMATO CHIROPRACTIC CLINIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ADRIAN A D'AMATO D.C. (OWNER)
(330) 629-9292
Entity
Organization

Contact information

Practice address
841 SOUTHWESTERN RUN, SUITE 2, YOUNGSTOWN, OH 44514-3688
(330) 629-9292
(330) 629-9339
Mailing address
841 SOUTHWESTERN RUN, SUITE 2, POLAND, OH 44514-3671
(330) 629-9292
(330) 629-9339

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
879
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000136265
ANTHEM
01
262210080-00
WORKER'S COMPENSATION
OH
01
262210080002
MEDICAL MUTUAL
OH
05
3055241
OH
01
9389701
MEDICARE
Enumeration date
02/20/2007
Last updated
03/31/2015
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