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NPI Code Detail

MEDICARE: CHIROPRACTIC ASSOCIATES OF WESTLAKE, LLC

MEDICARE: CHIROPRACTIC ASSOCIATES OF WESTLAKE, LLC
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
1111N00000XChiropractor2842OH

General Provider Information

NPI Number : 1295873404
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHIROPRACTIC ASSOCIATES OF WESTLAKE, LLC
Provider Business Mailing Address
First Line : 842 CORPORATE WAY
Second Line : SUITE 850
City : WESTLAKE
State : OH
Zip : 44145-1537
Country : US
Telephone Number : 440-871-4700
Fax Number : 440-871-4702
Provider Business Practice Location Address
First Line : 2750 DOVER CENTER RD
Second Line :
City : WESTLAKE
State : OH
Zip : 44145-4501
Country : US
Telephone Number : 440-808-9840
Fax Number : 440-808-9862
Authorized Official
Title or Position : D.C
Name : DR. THOMAS ANTHONY COLETTO
Credential : D.C.
Telephone Number : 440-808-9840
Provider Enumeration Date : 02/01/2007
Last Update Date : 02/06/2013

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Directions to “CHIROPRACTIC ASSOCIATES OF WESTLAKE, LLC ” Practice Location

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