| |
1492 S Green Rd, South Euclid, OH 44121-4038 | |
(216) 381-8700 | |
(216) 291-4793 |
Full Name | |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 1492 S Green Rd, South Euclid, Ohio |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679759104 | NPI | - | NPPES |
0999362 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 989 (Ohio) | Primary |
Provider Name | John A Bondra |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1093899742 PECOS PAC ID: 7012092430 Enrollment ID: I20080310000582 |
Mailing Address | Practice Location Address |
---|---|
1492 S Green Rd, South Euclid, OH 44121-4038 Ph: (216) 381-8700 | 1492 S Green Rd, South Euclid, OH 44121-4038 Ph: (216) 381-8700 |