Healthcare Provider Details

I. General information

NPI: 1134437577
Provider Name (Legal Business Name): BEWELL SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2010
Last Update Date: 09/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3681 GREEN RD SUITE 410
CLEVELAND OH
44122-5726
US

IV. Provider business mailing address

3681 GREEN RD SUITE 410
CLEVELAND OH
44122-5726
US

V. Phone/Fax

Practice location:
  • Phone: 216-378-0888
  • Fax: 216-360-9712
Mailing address:
  • Phone: 216-378-0888
  • Fax: 216-360-9712

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RONALD GOLOVAN
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 216-696-2205