person
Dr. Jerry Allen Mantonya, DC
Chiropractor in Newark, Ohio
NPI 1518965318

Jerry Allen Mantonya is a Chiropractor based in Newark, OH. Jerry Allen Mantonya practices in Newark, OH and has the professional credentials of DC. The NPI Number for Jerry Allen Mantonya is 1518965318 and holds a License No. 451 (Ohio).

The current practice location address for Jerry Allen Mantonya is 919 N 21St St, Newark, OH and can be reached out via phone at 740-366-6601 and via fax at 740-366-6286.

Location: 919 N 21St St, Newark, OH, 43055-2919
person
Provider Profile Details
NPI Number
1518965318
Provider Name
Jerry Allen Mantonya
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
919 N 21St St, Newark, OH, 43055-2919
Phone Number
740-366-6601
Fax Number
740-366-6286
Provider Enumeration Date
07/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
310811048029 01 OH CARESOURCE
0186883 05 OH
000000117115 01 OH ANTHEM BC/BS
institution
Provider Business Practice Location Address Details
Address
919 N 21St St
City
State
Zip
43055-2919
Phone Number
740-366-6601
Fax Number
740-366-6286
person
Provider Business Mailing Address Details
Address
919 N 21St St
City
State
Zip
43055-2919
Phone Number
740-366-6601
Fax Number
740-366-6286
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
451 (Ohio)
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 interrelationship with other body systems.
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