| Ralph Siegenthaler Inc | |
|
5584 Mayfield Rd Lyndhurst OH 44124-2928 | |
| (440) 442-6969 | |
| (440) 442-8312 |
| Full Name | Ralph Siegenthaler Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5584 Mayfield Rd, Lyndhurst, Ohio |
| Authorized Official Name and Position | Mark Allen Zannetti (PRESIDENT) |
| Authorized Official Contact | 4404426969 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ralph Siegenthaler Inc 5584 Mayfield Rd Lyndhurst OH 44124-2928 Ph: (440) 442-6969 | Ralph Siegenthaler Inc 5584 Mayfield Rd Lyndhurst OH 44124-2928 Ph: (440) 442-6969 |
| NPI Number | 1194084582 |
|---|---|
| Provider Enumeration Date | 05/07/2012 |
| Last Update Date | 05/31/2012 |
| Medicare PECOS PAC ID | 3779746755 |
|---|---|
| Medicare Enrollment ID | O20120601000081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194084582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1073 (Ohio) | Primary |
| Provider Name | Mark Zannetti |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1962454678 PECOS PAC ID: 6103089180 Enrollment ID: I20120601000142 |
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