MEDICARE: DR. MICHAEL PHILIP HOZAN DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	APP-000413654	OH

General Provider Information

NPI Number	:	1083200414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL PHILIP HOZAN DC

Provider Business Mailing Address
First Line	:	27450 CLARK RD
Second Line	:
City	:	WELLINGTON
State	:	OH
Zip	:	44090-9028
Country	:	US
Telephone Number	:	330-241-1119
Fax Number	:

Provider Business Practice Location Address
First Line	:	2106 N RIDGE RD
Second Line	:
City	:	ELYRIA
State	:	OH
Zip	:	44035-1241
Country	:	US
Telephone Number	:	440-240-9390
Fax Number	:	440-240-9370

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2020
Last Update Date	:	01/19/2026

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