# RICHARD M PELKOWSKI D.C., D.M.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831362847
- **Authorized official:** MR. RICHARD MARTIN PELKOWSKI D.C., D.M. (OWNER)
- **Authorized official phone:** (330) 499-7020

## Contact information

- **Practice address:** 9700 CLEVELAND AVE NW, GREENTOWN, OH 44630-0337
- **Practice address phone:** (330) 499-7020
- **Practice address fax:** (330) 499-1120
- **Mailing address:** PO BOX 337, GREENTOWN, OH 44630-0337
- **Mailing address phone:** (330) 499-7020
- **Mailing address fax:** (330) 499-1120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 144 | OH | Yes |

## Other

- **Enumeration date:** 04/10/2008
- **Last updated:** 04/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000127552 | ANTHEM | OH |