Provider Demographics
NPI:1730602871
Name:GENTNER CHIROPRACTIC & WELLNESS LLC
Entity type:Organization
Organization Name:GENTNER CHIROPRACTIC & WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:F
Authorized Official - Last Name:GENTNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:216-221-2008
Mailing Address - Street 1:13708 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-4711
Mailing Address - Country:US
Mailing Address - Phone:216-221-2008
Mailing Address - Fax:216-221-6446
Practice Address - Street 1:13708 MADISON AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-4711
Practice Address - Country:US
Practice Address - Phone:216-221-2008
Practice Address - Fax:216-221-6446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty