| Healthsource Of Broadview Heights | |
|
1100 W Royalton Rd, Suite H, Broadview Hts, OH 44147-3946 | |
| (330) 328-6499 | |
| Not Available |
| Full Name | Healthsource Of Broadview Heights |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1100 W Royalton Rd, Broadview Hts, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518359488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2717 (Ohio) | Primary |
| Provider Name | Brian Joseph Miles |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1417051046 PECOS PAC ID: 3072560283 Enrollment ID: I20050405000051 |
| Provider Name | Frank Dachtler |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1386764637 PECOS PAC ID: 6507911963 Enrollment ID: I20090908000661 |
| Mailing Address | Practice Location Address |
|---|---|
| Healthsource Of Broadview Heights 1100 W Royalton Rd, Suite H, Broadview Hts, OH 44147-3946 Ph: (330) 328-6499 | Healthsource Of Broadview Heights 1100 W Royalton Rd, Suite H, Broadview Hts, OH 44147-3946 Ph: (330) 328-6499 |
Shannon Brayer, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 203 E Royalton Rd, Ste 108, Broadview Hts, OH 44147 Phone: 440-526-4940 Fax: 440-526-4885 | |
Dr. Ryan Matthew Haely, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 7500 Town Centre Dr, Ste 300, Broadview Hts, OH 44147 Phone: 440-838-5755 | |
Haely Chiropractic, Inc. Chiropractor Medicare: Medicare Enrolled Practice Location: 7500 Town Centre Dr Ste 300, Broadview Hts, OH 44147 Phone: 440-838-5755 Fax: 440-838-5766 |