Kotheimer, Barry John

Kotheimer, Barry John is an individual health care provider with primary practice located at 102 E Park St , Chardon OH 44024. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Kotheimer, Barry John can be contacted via phone (440) 286-2225.

Contact Information

Primary practice address
102 E Park St Chardon OH 44024
Phone: (440) 286-2225
Fax: (440) 286-3058
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1511 Ohio

Profile Details

NPI number 1376615955
LBN Legal business name Kotheimer, Barry John
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376615955 NPPES
Ohio MEDICAID 0759479

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