Healthcare Provider Details

I. General information

NPI: 1194001669
Provider Name (Legal Business Name): MUNTEAN HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2011
Last Update Date: 10/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 E PARK DR STE 105
ATHENS OH
45701-5003
US

IV. Provider business mailing address

26 E PARK DR STE 105
ATHENS OH
45701-5003
US

V. Phone/Fax

Practice location:
  • Phone: 740-592-4229
  • Fax:
Mailing address:
  • Phone: 740-592-4229
  • Fax: 740-592-4010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. NICHOLAS MUNTEAN
Title or Position: OWNER
Credential:
Phone: 740-592-4229