Healthcare Provider Details

I. General information

NPI: 1558500363
Provider Name (Legal Business Name): REBECCA SCHLACHET, D.O., LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2009
Last Update Date: 02/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2602 MILTON RD
UNIVERSITY HEIGHTS OH
44118-4616
US

IV. Provider business mailing address

2602 MILTON RD
UNIVERSITY HEIGHTS OH
44118-4616
US

V. Phone/Fax

Practice location:
  • Phone: 216-406-0249
  • Fax:
Mailing address:
  • Phone: 216-406-0249
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number34008482
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number34008482
License Number StateOH

VIII. Authorized Official

Name: DR. REBECCA R SCHLACHET
Title or Position: OWNER
Credential: D.O.
Phone: 216-406-0249