| Modern Chiropractic & Wellness,llc | |
|
21800 Lorain Rd, Fairview Park, OH 44126-3331 | |
| (216) 712-6820 | |
| Not Available |
| Full Name | Modern Chiropractic & Wellness,llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 21800 Lorain Rd, Fairview Park, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073025185 | NPI | - | NPPES |
| 4572 | Other | OH | CHIROPRACTIC MEDICAL LICENSES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | SU139070 (Ohio) | Primary |
| Provider Name | Mark D Petro |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1609235464 PECOS PAC ID: 8325304744 Enrollment ID: I20171129000875 |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Chiropractic & Wellness,llc 1454 Gentry Memorial Hwy, Easley, SC 29640-6940 Ph: (864) 644-2700 | Modern Chiropractic & Wellness,llc 21800 Lorain Rd, Fairview Park, OH 44126-3331 Ph: (216) 712-6820 |
Dr. Angela Mastronardi, D.C., L.L.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 21245 Lorain Rd Ste 111, Fairview Park, OH 44126 Phone: 440-212-1901 | |
Leonard Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 21800 Lorain Rd, Fairview Park, OH 44126 Phone: 440-895-3500 Fax: 440-895-3501 | |
Dr. Todd W Smith, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 21881 Lorain Rd, Fairview Park, OH 44126 Phone: 440-331-9033 Fax: 440-331-9053 | |
Dr. Mark Petro, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 21800 Lorain Rd, Fairview Park, OH 44126 Phone: 440-895-3500 | |
Fairview Park Chiropractic Center, Inc. Chiropractor Medicare: Medicare Enrolled Practice Location: 21881 Lorain Rd, Fairview Park, OH 44126 Phone: 440-331-9033 | |
Dr. Taylor Weight, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 21245 Lorain Rd Ste 111, Fairview Park, OH 44126 Phone: 440-482-1221 |