Roediger, Tad M.
Roediger, Tad M. is an individual health care provider with primary practice located at 401 South St Building 2A, Chardon OH 44024-2805. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Roediger, Tad M. can be contacted via phone (440) 285-0756.Contact Information
Primary practice address
401 South St Building 2A
Chardon OH 44024-2805
Phone: (440) 285-0756
Fax: (440) 285-8625
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1811 | Ohio |
Profile Details
| NPI number | 1497715320 |
|---|---|
| LBN Legal business name | Roediger, Tad M. |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Nov 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497715320 | NPPES |
| Ohio | MEDICAID | 0868735 |
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