Healthsource Northcoast Inc is a
Specialist based in Avon, Ohio. Healthsource Northcoast Inc is licensed to practice in * (Not Available) (license number PT006007) and their current practice location is
33560 Detroit Rd, Avon, Ohio. It can be reached at their office (for appointments etc.) via phone at
(440) 937-4222.
NPI number for Healthsource Northcoast Inc is 1437311156 and their current mailing address is 33560 Detroit Rd, Avon, Ohio. Healthsource Northcoast Inc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1437311156.
Healthcare Provider's Profile
| Full Name | Healthsource Northcoast Inc |
|---|
| Type | Facility |
|---|
| Speciality | Specialist |
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| Location | 33560 Detroit Rd, Avon, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1437311156
- Provider Enumeration Date: 06/25/2008
- Last Update Date: 11/14/2013
Medical Identifiers
Medical identifiers for Healthsource Northcoast Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437311156 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 3492 (Ohio) | Secondary |
| 111N00000X | Chiropractor | 3348 (Ohio) | Secondary |
| 111N00000X | Chiropractor | 4061 (Ohio) | Secondary |
| 111N00000X | Chiropractor | 4179 (Ohio) | Secondary |
| 174400000X | Specialist | PT 06257 (Ohio) | Secondary |
| 174400000X | Specialist | PT006007 (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Healthsource Northcoast Inc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Healthsource Northcoast Inc
33560 Detroit Rd,
Avon, OH 44011-2030
Ph: (440) 937-4222 | Healthsource Northcoast Inc
33560 Detroit Rd,
Avon, OH 44011-2030
Ph: (440) 937-4222 |
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