Healthcare Provider Details

I. General information

NPI: 1093147332
Provider Name (Legal Business Name): AFTERMARKET INDUSTRIES CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2013
Last Update Date: 08/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4821 BRIAR RD
CLEVELAND OH
44135-5039
US

IV. Provider business mailing address

4821 BRIAR RD
CLEVELAND OH
44135-5039
US

V. Phone/Fax

Practice location:
  • Phone: 216-362-1422
  • Fax: 216-362-1426
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WV0202X
TaxonomyVehicle Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name: MR. BRIAN P MATTHEI
Title or Position: MANAGER
Credential:
Phone: 216-362-1422