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SHAKER BOULEVARD REHAB GROUP LLC NPI 1386052405


NPI Information

NPI: 1386052405
Provider Name: SHAKER BOULEVARD REHAB GROUP LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
11811 SHAKER BLVD STE 309
CLEVELAND, OH
ZIP 44120
Phone: (216) 791-4307
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SHAKER BOULEVARD REHAB GROUP LLC is a chiropractor in Cleveland, OH. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. SHAKER BOULEVARD REHAB GROUP LLC NPI is 1386052405. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11811 SHAKER BLVD STE 309
CLEVELAND, OH
ZIP 44120-927
Phone: (216) 791-4307
Fax: (216) 791-4338

The provider's authorized official is Drew Schwartz .
The authorized official title is Owner and has the following contact phone number (216) 791-4307.

The enumeration date for this NPI number is 8/1/2014 and was last updated on 8/1/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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