Great Lakes Sport And Spine

LBN: Great Lakes Sport And Spine
Great Lakes Sport And Spine is an health care organization with primary practice located at 34940 Ridge Rd Ste B , Willoughby OH 44094-4197. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Other Service Providers / Acupuncturist. Chiropractic Providers / Chiropractor is the primary health care specialty. Great Lakes Sport And Spine can be contacted via phone (440) 503-6683, or through Martin, Matthew Paul via phone (440) 503-6683.

Contact Information

Primary practice address
34940 Ridge Rd Ste B Willoughby OH 44094-4197
Phone: (440) 503-6683
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Martin, Matthew Paul Doctor of Chiropractic (DC)
Phone: (440) 503-6683

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X
Other Service Providers / Acupuncturist 171100000X

Profile Details

NPI number 1104500925
LBN Legal business name Great Lakes Sport And Spine
DBA Doing business as
Authorized official Martin, Matthew Paul Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2023
Last updated Jun 12th, 2023 - 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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