Geauga Sports Medicine, Llc

LBN: Geauga Sports Medicine, Llc
Geauga Sports Medicine, Llc is an health care organization with primary practice located at 13207 Ravenna Rd , Chardon OH 44024-7032. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Geauga Sports Medicine, Llc can be contacted via phone (440) 285-6452, or through Kelis, Michael J via phone (440) 285-6452.

Contact Information

Primary practice address
13207 Ravenna Rd Chardon OH 44024-7032
Phone: (440) 285-6452
Fax: (440) 285-1796
Website:
Map and Directions
Authorized official contact:
Name: Kelis, Michael J Doctor of Osteopathy (DO)
Phone: (440) 285-6452

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2083S0010X Ohio

Profile Details

NPI number 1396746970
LBN Legal business name Geauga Sports Medicine, Llc
DBA Doing business as
Authorized official Kelis, Michael J Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2005
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396746970 NPPES
Ohio Other 250006704 RR MEDICARE

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