Healthcare Provider Details

I. General information

NPI: 1225170145
Provider Name (Legal Business Name): NATHAN JEREMIAH STINEMETZ DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 02/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 ROSS STREET
DANVILLE OH
43014-0715
US

IV. Provider business mailing address

PO BOX 715
DANVILLE OH
43014-0715
US

V. Phone/Fax

Practice location:
  • Phone: 740-599-7562
  • Fax: 740-599-6166
Mailing address:
  • Phone: 740-599-7562
  • Fax: 740-599-6166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3106
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number5903
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: