| Elite Family Chiropractic, Llc | |
|
12891 State Rd North Royalton OH 44133-3971 | |
| (440) 230-2300 | |
| (440) 230-2301 |
| Full Name | Elite Family Chiropractic, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 12891 State Rd, North Royalton, Ohio |
| Authorized Official Name and Position | Scott Joseph Haggerty (OWNER) |
| Authorized Official Contact | 4402302300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Family Chiropractic, Llc 12891 State Rd North Royalton OH 44133-3971 Ph: (440) 230-2300 | Elite Family Chiropractic, Llc 12891 State Rd North Royalton OH 44133-3971 Ph: (440) 230-2300 |
| NPI Number | 1003183997 |
|---|---|
| Provider Enumeration Date | 11/21/2011 |
| Last Update Date | 08/29/2019 |
| Medicare PECOS PAC ID | 9032377445 |
|---|---|
| Medicare Enrollment ID | O20120214000757 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003183997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2062027 (* (Not Available)) | Primary |
| Provider Name | Scott J Haggerty |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1245511815 PECOS PAC ID: 8022276435 Enrollment ID: I20120222000320 |
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