1538340310 NPI number — KANTNER CHIROPRACTIC CARE INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538340310 NPI number — KANTNER CHIROPRACTIC CARE INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KANTNER CHIROPRACTIC CARE INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1538340310
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/09/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
801 BREWFIELD DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WAPAKONETA
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45895-9394
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
419-738-4373
Provider Business Mailing Address Fax Number:
419-738-3780

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
801 BREWFIELD DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WAPAKONETA
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45895-9394
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-738-4373
Provider Business Practice Location Address Fax Number:
419-738-3780
Provider Enumeration Date:
11/20/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
KANTNER
Authorized Official First Name:
RONALD
Authorized Official Middle Name:
D
Authorized Official Title or Position:
CHIROPRACTOR
Authorized Official Telephone Number:
419-738-4373

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  1301 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)