Individual
MITCHELL GOOZDICH III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
113 N LEAVITT RD, AMHERST, OH 44001-1110
(440) 985-5505
(440) 985-5507
Mailing address
113 N LEAVITT RD, AMHERST, OH 44001-1110
(440) 985-5505
(440) 985-5507
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC.2965
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000257051
ANTHEM BLUE CROSS
OH
05
—
2204715
—
OH
01
—
4401426
UNITED HEALTHCARE
—
01
—
7757699
CIGNA
—
01
—
P00004067
RAILROAD MEDICARE
—
Enumeration date
09/12/2005
Last updated
07/08/2007
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