Healthcare Provider Details
I. General information
NPI: 1437399193
Provider Name (Legal Business Name): HEALTH SOLUTION CENTERS OF LORAIN INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/20/2009
Last Update Date: 03/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1980 COOPER FOSTER PARK RD W SUITE A
LORAIN OH
44053-3600
US
IV. Provider business mailing address
1980 COOPER FOSTER PARK RD W SUITE A
LORAIN OH
44053-3600
US
V. Phone/Fax
- Phone: 440-282-7246
- Fax:
- Phone: 440-282-7246
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
CARON
KREICHER
Title or Position: CEO
Credential:
Phone: 440-282-7246