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General NPI Number Information
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NPI Number | 1578386215
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Entity Type | Organization
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Legal Business Name | SUMMERS FAMILY CHIROPRACTIC LLC
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Dates
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Enumeration Date | 11/01/2024
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 19910 DETROIT RD
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City | ROCKY RIVER
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State | OH
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Zip | 44116
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Country | US
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Telephone | 856-305-1604
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Fax |
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Provider Business Mailing Address
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Address Line | 8260 W 130TH ST
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City | STRONGSVILLE
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State | OH
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Zip | 44136-1904
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Country | US
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Telephone | 856-305-1604
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LUCAS SUMMERS
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Credential | DC
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Telephone | 856-305-1604
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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