| Southside Wellness Center Ltd | |
|
7664 Broadview Rd Parma OH 44134-6746 | |
| (440) 840-7419 | |
| Not Available |
| Full Name | Southside Wellness Center Ltd |
|---|---|
| Speciality | Clinic/Center |
| Location | 7664 Broadview Rd, Parma, Ohio |
| Authorized Official Name and Position | Shoshana Sevel Loerch (OWNER/ CHIROPRACTOR) |
| Authorized Official Contact | 4408407419 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southside Wellness Center Ltd 7664 Broadview Rd Parma OH 44134-6746 Ph: (440) 840-7419 | Southside Wellness Center Ltd 7664 Broadview Rd Parma OH 44134-6746 Ph: (440) 840-7419 |
| NPI Number | 1235718776 |
|---|---|
| Provider Enumeration Date | 04/02/2021 |
| Last Update Date | 04/30/2021 |
| Medicare PECOS PAC ID | 3971912791 |
|---|---|
| Medicare Enrollment ID | O20210507001432 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235718776 | NPI | - | NPPES |
| 1992049985 | Other | NPI INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Shoshana S Loerch |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1992049985 PECOS PAC ID: 4880003607 Enrollment ID: I20210507001515 |
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