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NPI Code Detail

MEDICARE: CREIGHTON G. HEYL, D.O., INC

MEDICARE: CREIGHTON G. HEYL, D.O., 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
1207X00000XOrthopaedic Surgery Physician003096OH

General Provider Information

NPI Number : 1700905429
Entity Type Code : Organization
Provider Name (Legal Business Name) : CREIGHTON G. HEYL, D.O., INC
Provider Business Mailing Address
First Line : 26971 CHARDON RD
Second Line :
City : RICHMOND HTS
State : OH
Zip : 44143-1111
Country : US
Telephone Number : 440-943-2086
Fax Number : 440-943-5440
Provider Business Practice Location Address
First Line : 26971 CHARDON RD
Second Line :
City : RICHMOND HTS
State : OH
Zip : 44143-1111
Country : US
Telephone Number : 440-943-2086
Fax Number : 440-943-5440
Authorized Official
Title or Position : PRESIDENT
Name : DR. CREIGHTON GREGORY HEYL
Credential : D.O.
Telephone Number : 440-943-2086
Provider Enumeration Date : 03/28/2007
Last Update Date : 04/20/2008

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