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NPI Code Detail

MEDICARE: HAMMERHEAD'S HEALTH & FITNESS

MEDICARE: HAMMERHEAD'S HEALTH & FITNESS
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
1332B00000XDurable Medical Equipment & Medical Supplies
2261Q00000XClinic/Center

General Provider Information

NPI Number : 1861117681
Entity Type Code : Organization
Provider Name (Legal Business Name) : HAMMERHEAD'S HEALTH & FITNESS
Provider Business Mailing Address
First Line : 20 N HIGH ST
Second Line :
City : CANAL WINCHESTER
State : OH
Zip : 43110-1109
Country : US
Telephone Number : 614-837-1111
Fax Number :
Provider Business Practice Location Address
First Line : 20 N HIGH ST
Second Line :
City : CANAL WINCHESTER
State : OH
Zip : 43110-1109
Country : US
Telephone Number : 614-837-1111
Fax Number :
Authorized Official
Title or Position : CHIROPRACTOR
Name : JOHN A SHALVEY
Credential : DC
Telephone Number : 614-837-1111
Provider Enumeration Date : 10/04/2022
Last Update Date : 02/08/2024

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Directions to “HAMMERHEAD'S HEALTH & FITNESS ” Practice Location

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