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NPI Code Detail

MEDICARE: PRECISION ACTIVE HEALTH

MEDICARE: PRECISION ACTIVE HEALTH
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
1111N00000XChiropractor

General Provider Information

NPI Number : 1508476672
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRECISION ACTIVE HEALTH
Provider Business Mailing Address
First Line : 27600 CHAGRIN BLVD STE 160
Second Line :
City : WOODMERE
State : OH
Zip : 44122-4421
Country : US
Telephone Number : 216-593-0150
Fax Number :
Provider Business Practice Location Address
First Line : 27600 CHAGRIN BLVD STE 160
Second Line :
City : WOODMERE
State : OH
Zip : 44122-4421
Country : US
Telephone Number : 216-593-0150
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. ERIK PETERS
Credential : DC
Telephone Number : 216-593-0150
Provider Enumeration Date : 08/04/2020
Last Update Date : 08/04/2020

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Directions to “PRECISION ACTIVE HEALTH ” Practice Location

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