Provider Demographics
NPI:1437368230
Name:GRANETO CHIROPRACTIC, INC
Entity Type:Organization
Organization Name:GRANETO CHIROPRACTIC, INC
Other - Org Name:GRANETO HEALTH SYSTEMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:GRANETO
Authorized Official - Suffix:
Authorized Official - Credentials:DC, FACO
Authorized Official - Phone:330-758-5119
Mailing Address - Street 1:7291 WEST BLVD
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-7317
Mailing Address - Country:US
Mailing Address - Phone:330-758-5119
Mailing Address - Fax:330-758-5195
Practice Address - Street 1:7291 WEST BLVD
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44512-7317
Practice Address - Country:US
Practice Address - Phone:330-758-5119
Practice Address - Fax:330-758-5195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH762111NI0013X, 111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered111NI0013XChiropractic ProvidersChiropractorIndependent Medical ExaminerGroup - Multi-Specialty
Not Answered111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Multi-Specialty