| Cleveland State University | |
|
2121 Euclid Ave Cleveland OH 44115-2214 | |
| (216) 687-5287 | |
| Not Available |
| Full Name | Cleveland State University |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 2121 Euclid Ave, Cleveland, Ohio |
| Authorized Official Name and Position | Chris Lacsamana (HEAD ATHLETICS TRAINER) |
| Authorized Official Contact | 2166875287 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cleveland State University Po Box 819020 Dallas TX 75381-9020 Ph: () - | Cleveland State University 2121 Euclid Ave Cleveland OH 44115-2214 Ph: (216) 687-5287 |
| NPI Number | 1164704995 |
|---|---|
| Provider Enumeration Date | 09/19/2011 |
| Last Update Date | 09/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164704995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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