MEDICARE: DR. PATRICK HEALEY N.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175F00000X	Naturopath	099.0134199	VT

General Provider Information

NPI Number	:	1164961009
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICK HEALEY N.D.

Provider Business Mailing Address
First Line	:	2460 FAIRMOUNT BLVD STE 202
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44106-3125
Country	:	US
Telephone Number	:	216-707-9137
Fax Number	:

Provider Business Practice Location Address
First Line	:	2460 FAIRMOUNT BLVD STE 202
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44106-3125
Country	:	US
Telephone Number	:	216-707-9137
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2017
Last Update Date	:	11/10/2023

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