Provider Demographics
NPI:1114540440
Name:GA GERMANO LLC
Entity Type:Organization
Organization Name:GA GERMANO LLC
Other - Org Name:GIULIO GERMANO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ACUUNCTURIST
Authorized Official - Prefix:MR
Authorized Official - First Name:GIULIO
Authorized Official - Middle Name:
Authorized Official - Last Name:GERMANO
Authorized Official - Suffix:
Authorized Official - Credentials:DACM DIPL
Authorized Official - Phone:513-658-4092
Mailing Address - Street 1:6211 OLD FOREST DR
Mailing Address - Street 2:
Mailing Address - City:MAINEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45039-2511
Mailing Address - Country:US
Mailing Address - Phone:513-658-4092
Mailing Address - Fax:
Practice Address - Street 1:6211 OLD FOREST DR
Practice Address - Street 2:
Practice Address - City:MAINEVILLE
Practice Address - State:OH
Practice Address - Zip Code:45039-2511
Practice Address - Country:US
Practice Address - Phone:513-658-4092
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-21
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH00007170291OtherUNITED HEALTH CARE
OHCS19115400269OtherCARESOURCE
OH0336590Medicaid