| Avon Lake Back & Neck, Inc. | |
|
33398 Walker Rd Suite D Avon Lake OH 44012-1496 | |
| (440) 653-5220 | |
| Not Available |
| Full Name | Avon Lake Back & Neck, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 33398 Walker Rd, Avon Lake, Ohio |
| Authorized Official Name and Position | Brad Matthew Vernallis (PRESIDENT) |
| Authorized Official Contact | 4406535220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Avon Lake Back & Neck, Inc. 33398 Walker Rd Suite D Avon Lake OH 44012-1496 Ph: (440) 653-5220 | Avon Lake Back & Neck, Inc. 33398 Walker Rd Suite D Avon Lake OH 44012-1496 Ph: (440) 653-5220 |
| NPI Number | 1598131583 |
|---|---|
| Provider Enumeration Date | 08/13/2015 |
| Last Update Date | 08/13/2015 |
| Medicare PECOS PAC ID | 6901112085 |
|---|---|
| Medicare Enrollment ID | O20150903002462 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598131583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 3749 (Ohio) | Primary |
| Provider Name | Bradley Matthew Vernallis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1598872202 PECOS PAC ID: 3870590367 Enrollment ID: I20061026000406 |
Alaa Alahmad Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 32918 Lake Rd, Avon Lake, OH 44012 Phone: 216-374-6349 Fax: 440-235-8440 | |
Westshore Primary Care Assoc Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 32730 Walker Road, Building H, Avon Lake, OH 44012 Phone: 440-930-4955 Fax: 440-930-4960 | |
Westshore Primary Care Assoc., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 33398 Walker Rd, Suite C, Avon Lake, OH 44012 Phone: 440-930-8630 Fax: 440-930-8676 |