Individual
CARMEN J. CENTANNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3681 SOUTH GREEN RD., SUITE #206, BEACHWOOD, OH 44122
(216) 595-3560
(216) 595-3560
Mailing address
3681 SOUTH GREEN RD., SUITE #206, BEACHWOOD, OH 44122
(216) 595-3560
(216) 595-3560
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
711
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000116505
ANTHEM BCBS
OH
01
—
000000116505
ANTHEM BC/BS
—
Enumeration date
08/10/2005
Last updated
12/17/2008
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