Healthsource Of Fairlawn | |
2855 W Market St Ste 201, Fairlawn, OH 44333-4034 | |
(234) 900-4150 | |
Not Available |
Full Name | Healthsource Of Fairlawn |
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Type | Facility |
Speciality | Chiropractor |
Location | 2855 W Market St Ste 201, Fairlawn, Ohio |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1992216915 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (Ohio) | Primary |
Provider Name | Robert E Griesse |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1184015117 PECOS PAC ID: 1355660150 Enrollment ID: I20150429000479 |
Provider Name | Victoria Adkins |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1942074232 PECOS PAC ID: 2365892031 Enrollment ID: I20231220003401 |
Mailing Address | Practice Location Address |
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Healthsource Of Fairlawn 2855 W Market St Ste 201, Fairlawn, OH 44333-4034 Ph: (234) 900-4150 | Healthsource Of Fairlawn 2855 W Market St Ste 201, Fairlawn, OH 44333-4034 Ph: (234) 900-4150 |
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