East Mentor Family Chiropractic & Rehabilitation, INC.
Chiropractor in Mentor, OH. Organization (NPI-2).
NPI number1487775706
StatusActive
Last updated in NPPESJun 30, 2010
Details
- NPI
- 1487775706
- Entity type
- Organization (NPI-2)
- Legal business name
- East Mentor Family Chiropractic & Rehabilitation, INC.
- Organization subpart
- No
- Enumeration date
- Apr 3, 2007
- Last updated
- Jun 30, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 2782 | OH | Yes |
Practice location
6966 Heisley RdSuite F
Mentor, OH 44060-4593
Phone 440-974-8557 · Fax 440-255-6337
Mailing address
6966 Heisley RdSuite F
Mentor, OH 44060-4593
Phone 440-974-8557 · Fax 440-255-6337
Authorized official
Matthew Russell Ward
President
4409748557
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