Healthcare Provider Details

I. General information

NPI: 1235525411
Provider Name (Legal Business Name): CLEVELAND HEIGHTS CHIROPRACTIC AND REHABILITATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2015
Last Update Date: 04/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3084 MAYFIELD RD
CLEVELAND HEIGHTS OH
44118-1727
US

IV. Provider business mailing address

3084 MAYFIELD RD
CLEVELAND HEIGHTS OH
44118-1727
US

V. Phone/Fax

Practice location:
  • Phone: 216-321-7246
  • Fax:
Mailing address:
  • Phone: 216-321-7246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State

VIII. Authorized Official

Name: DR. STEVEN ANDREW LEVAK
Title or Position: DOCTOR OF CHIROPRACTIC
Credential: D.C.
Phone: 216-321-7246