Old School Llc

NPI 1215329909 - Clinic/Center - 261QR0401X

NPI Details
NPI 1215329909
Enumeration Date 03/04/2015
Last Updated 03/04/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name JOHN J. JOHN
Position DIRECTOR/OWNER
Phone (216) 403-8640
Fax (216) 862-5143
Practice Location
17400 NORTHWOOD AVE
LAKEWOOD OH, 44107-2210, US
Phone (216) 403-8640
Fax (216) 862-5143
Business Location
2109 WOOSTER RD
ROCKY RIVER OH, 44116-2674, US
Phone (216) 407-0437
Fax (216) 862-5143
Toxanomy
Taxonomy Code 261QR0401X
License State Ohio
License Number 101YA0400X
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According to our database, Old School Llc NPI is 1215329909, taxonomy code is 261QR0401X and license number is 101YA0400X, license state is located at Ohio. Old School Llc physically located at 17400 Northwood Ave, Lakewood OH, 44107-2210. NPI Number 1033115704 has the healthcare provider type.

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1215329909 NPI number is provided on an as is basis without warranty of any kind. 1215329909 is maintained by the National Plan & Provider Enumeration System. The contents of Old School Llc are for informational purposes only.