Healthcare Provider Details

I. General information

NPI: 1063678068
Provider Name (Legal Business Name): ROCKWOOD MEDICAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2008
Last Update Date: 07/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1097 WHITTLESAY LN
ROCKY RIVER OH
44116-2160
US

IV. Provider business mailing address

1097 WHITTLESAY LN
ROCKY RIVER OH
44116-2160
US

V. Phone/Fax

Practice location:
  • Phone: 440-897-4143
  • Fax: 216-771-5873
Mailing address:
  • Phone: 440-897-4143
  • Fax: 216-771-5873

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number18444138
License Number StateOH

VIII. Authorized Official

Name: MS. LINDA A CHESSER
Title or Position: PRESIDENT OF CO.
Credential:
Phone: 440-897-4143