Provider Demographics
NPI:1720007727
Name:VALENTI, PAUL D (DC)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:D
Last Name:VALENTI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 CHESTNUT STREET
Mailing Address - Street 2:
Mailing Address - City:COSHOCTON
Mailing Address - State:OH
Mailing Address - Zip Code:43812
Mailing Address - Country:US
Mailing Address - Phone:740-291-8100
Mailing Address - Fax:740-291-8400
Practice Address - Street 1:112 CHESTNUT STREET
Practice Address - Street 2:
Practice Address - City:COSHOCTON
Practice Address - State:OH
Practice Address - Zip Code:43812
Practice Address - Country:US
Practice Address - Phone:740-291-8100
Practice Address - Fax:740-291-8400
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2077111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0984681Medicaid
OHVA0779983Medicare ID - Type Unspecified
OH0984681Medicaid