| Great Lakes Sports & Spine Llc | |
|
34940 Ridge Rd Ste B, Willoughby, OH 44094-4197 | |
| (440) 527-8030 | |
| Not Available |
| Full Name | Great Lakes Sports & Spine Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 34940 Ridge Rd Ste B, Willoughby, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710768494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Matthew P Martin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1205132032 PECOS PAC ID: 0749451730 Enrollment ID: I20110923000149 |
| Mailing Address | Practice Location Address |
|---|---|
| Great Lakes Sports & Spine Llc 502 Windham Ct, Broadview Heights, OH 44147-4214 Ph: (440) 503-6683 | Great Lakes Sports & Spine Llc 34940 Ridge Rd Ste B, Willoughby, OH 44094-4197 Ph: (440) 527-8030 |
Dr. Christopher J Devens, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 35104 Euclid Ave, Willoughby, OH 44094 Phone: 440-867-5102 Fax: 866-659-8883 | |
Buckeye Chiropractic Clinic Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 37131 Euclid Ave, Willoughby, OH 44094 Phone: 440-951-7246 Fax: 440-946-3066 | |
Great Lakes Sport And Spine Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 34940 Ridge Rd Ste B, Willoughby, OH 44094 Phone: 440-503-6683 | |
Dr. Joseph L Stankus, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 37131 Euclid Ave, Willoughby, OH 44094 Phone: 440-951-7246 Fax: 440-946-3066 | |
Chirohealth - Usa Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 34820 Chardon Rd, Willoughby, OH 44094 Phone: 440-449-5885 Fax: 440-449-1568 | |
Dr. Timothy Tyler Moore, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 39000 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-3950 Fax: 440-953-3953 | |
Dr. Kenneth C Brown, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 37742 Euclid Ave, Willoughby, OH 44094 Phone: 440-942-1232 Fax: 440-942-9377 |