Jerry A Mantonya is a Chiropractor in Newark, Ohio. Jerry A Mantonya practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jerry A Mantonya is 1497809495. The last update date is 2011-12-02.
Jerry A Mantonya's current location address is 919 N 21st St, Newark, Ohio. You can contact this provider via phone number 7403666601 and fax number 7403666286. The mailing address for Jerry A Mantonya is 919 N 21st St, Newark, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jerry A Mantonya |
|---|---|
| Address | 919 N 21st St, Newark, Ohio |
| Phone Number | 7403666601 |
| Fax Number | 7403666286 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINIC OWN |
|---|---|
| Authorized Official Name | Mantonya A Jerry |
| Credentials | D.C. |
| Telephone Number | 7403666601 |
NPI Number Detail
| NPI Number | 1497809495 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2011-12-02 |
Provider Mailing Address Detail
| Address | 919 N 21st St |
|---|---|
| City | Newark |
| State | Ohio (OH) |
| Post Code | 430552919 |
| Phone Number | 7403666601 |
| Fax Number | 7403666286 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 870 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 160597 | OH | ANTHEM BC BS | |
| 112381 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jerry A Mantonya by the Centers for Medicare & Medicaid Services?
The Jerry A Mantonya has been assigned the NPI (National Provider Identifier) 1497809495. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jerry A Mantonya is physically located?
The Jerry A Mantonya is physically situated at the following address: 919 N 21St St, Newark, OH, 430552919.
What is Jerry A Mantonya's area of expertise and its corresponding taxonomy classification?
The Jerry A Mantonya's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.
When did Jerry A Mantonya receive its 1497809495 assignment?
The Jerry A Mantonya was assigned its 1497809495 on 2007-01-23, which is the date when this unique identifier was issued to the organization.
When was the information regarding Jerry A Mantonya most recently updated?
The details pertaining to the Jerry A Mantonya, including its address, specialty, and other relevant information, were last refreshed on 2011-12-02.