Provider Demographics
NPI:1912203225
Name:ORLANDO, GERALD ANTHONY II (DC)
Entity Type:Individual
Prefix:
First Name:GERALD
Middle Name:ANTHONY
Last Name:ORLANDO
Suffix:II
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 1:267 BLOOR ST
Mailing Address - Street 2:
Mailing Address - City:CONNEAUT
Mailing Address - State:OH
Mailing Address - Zip Code:44030-2016
Mailing Address - Country:US
Mailing Address - Phone:440-228-5324
Mailing Address - Fax:
Practice Address - Street 1:167 W MAIN RD
Practice Address - Street 2:SUITE A
Practice Address - City:CONNEAUT
Practice Address - State:OH
Practice Address - Zip Code:44030-2057
Practice Address - Country:US
Practice Address - Phone:440-593-7788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-03
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDC4315111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor