Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 3106 | OH |
N | 111NS0005X | Chiropractic Sports Physician | 5903 | OH |
NPI | 1225170145 |
---|---|
Provider Name | Nathan Jeremiah Stinemetz |
First Address | Danville, OH 43014-0715 |
Second Address | Danville, OH 43014-0715 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2007 |
Last Update Date | 09/02/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000293525 | ANTHEM BCBS (01) | |
2287789 | (05) | OH |
P00082163 | RR MEDICARE (01) | |
U89822 | (02) |