Great Lakes Physical Medicine Llc
LBN: Great Lakes Physical Medicine Llc
Great Lakes Physical Medicine Llc is an health care organization with primary practice located at 25200 Chagrin Blvd Ste 103 , Beachwood OH 44122-5681. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Ambulatory Health Care Facilities / Physical Therapy. Chiropractic Providers / Chiropractor is the primary health care specialty.
Great Lakes Physical Medicine Llc can be contacted via phone (570) 575-5414, or through Wolk, Eric D via phone (570) 575-5414.
Contact Information
Primary practice address
25200 Chagrin Blvd Ste 103
Beachwood OH 44122-5681
Phone: (570) 575-5414
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Chiropractor | 111N00000X | ||
Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X |
Profile Details
NPI number | 1356973267 |
---|---|
LBN Legal business name | Great Lakes Physical Medicine Llc |
DBA Doing business as | |
Authorized official | Wolk, Eric D Doctor of Chiropractic (DC) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Feb 8th, 2020 |
Last updated | Feb 8th, 2020 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1356973267 | NPPES |
Ohio | MEDICAID | 0281891 |
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