MEDICARE: CLEVELAND CHIROPRACTIC & WELLNESS CENTER, INC.

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

General Provider Information

NPI Number	:	1386622736
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEVELAND CHIROPRACTIC & WELLNESS CENTER, INC.

Provider Business Mailing Address
First Line	:	2460 FAIRMOUNT BLVD
Second Line	:	UNIT B
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44106-3171
Country	:	US
Telephone Number	:	216-231-5783
Fax Number	:

Provider Business Practice Location Address
First Line	:	2460 FAIRMOUNT BLVD
Second Line	:	UNIT B
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44106-3171
Country	:	US
Telephone Number	:	216-231-5783
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	EMILY ARNOLD
Credential	:	D.C.
Telephone Number	:	216-231-5783

Provider Enumeration Date	:	01/05/2006
Last Update Date	:	02/05/2018

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