Healthcare Provider Details

I. General information

NPI: 1790872695
Provider Name (Legal Business Name): APLOMB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 09/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27085 CHAGRIN BLVD
WOODMERE OH
44122-4208
US

IV. Provider business mailing address

27085 CHAGRIN BLVD
WOODMERE OH
44122-4208
US

V. Phone/Fax

Practice location:
  • Phone: 216-831-3322
  • Fax: 216-831-5969
Mailing address:
  • Phone: 216-831-3322
  • Fax: 216-831-5969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number119
License Number StateOH

VIII. Authorized Official

Name: ELSA J. FRITTS
Title or Position: PRESIDENT
Credential: LICENSED PEDORTHIST
Phone: 216-831-3322