MEDICARE: DR. ROY A GOLSCH DC

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	111N00000X	Chiropractor	1139	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	350047457	OTHER	OH	MEDICARE RAILROAD PIN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881649788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROY A GOLSCH DC

Provider Business Mailing Address
First Line	:	15350 BAGLEY RD
Second Line	:
City	:	MIDDLEBURG HEIGHTS
State	:	OH
Zip	:	44130-4824
Country	:	US
Telephone Number	:	440-886-4990
Fax Number	:	440-886-1288

Provider Business Practice Location Address
First Line	:	15350 BAGLEY RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44130-4824
Country	:	US
Telephone Number	:	440-866-4990
Fax Number	:	440-866-1288

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

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	06/09/2021

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