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NPI Code Detail

MEDICARE: REBECCA SCHLACHET, D.O., LLC

MEDICARE: REBECCA SCHLACHET, D.O., 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
1311500000XAlzheimer Center (Dementia Center)34008482OH
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)34008482OH

General Provider Information

NPI Number : 1558500363
Entity Type Code : Organization
Provider Name (Legal Business Name) : REBECCA SCHLACHET, D.O., LLC
Provider Business Mailing Address
First Line : 2602 MILTON RD
Second Line :
City : UNIVERSITY HEIGHTS
State : OH
Zip : 44118-4616
Country : US
Telephone Number : 216-406-0249
Fax Number :
Provider Business Practice Location Address
First Line : 2602 MILTON RD
Second Line :
City : UNIVERSITY HEIGHTS
State : OH
Zip : 44118-4616
Country : US
Telephone Number : 216-406-0249
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. REBECCA R SCHLACHET
Credential : D.O.
Telephone Number : 216-406-0249
Provider Enumeration Date : 02/18/2009
Last Update Date : 02/18/2009

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