Wellness Lake County Chiropractic Inc.

NPI 1093104465 - Chiropractor - 111N00000X

NPI Details
NPI 1093104465
Enumeration Date 01/22/2015
Last Updated 12/08/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name BRIAN J BRIAN
Position OWNER
Phone (440) 478-9325
Fax
Practice Location
1640 MENTOR AVENUE
PAINESVILLE OH, 44077, US
Phone (440) 478-9325
Fax
Business Location
1640 MENTOR AVE
PAINESVILLE OH, 44077-1707, US
Phone (440) 478-9325
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Ohio
License Number 2653
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According to our database, Wellness Lake County Chiropractic Inc. NPI is 1093104465, taxonomy code is 111N00000X and license number is 2653, license state is located at Ohio. Wellness Lake County Chiropractic Inc. physically located at 1640 Mentor Avenue, Painesville OH, 44077. NPI Number 1033115704 has the healthcare provider type.

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1093104465 NPI number is provided on an as is basis without warranty of any kind. 1093104465 is maintained by the National Plan & Provider Enumeration System. The contents of Wellness Lake County Chiropractic Inc. are for informational purposes only.