Individual
DR. ANGELO PEROULAKIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
6479 S RACCOON RD, CANFIELD, OH 44406-9270
(330) 533-6327
(330) 533-0425
Mailing address
6479 S RACCOON RD, CANFIELD, OH 44406-9270
(330) 533-6327
(330) 533-0425
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2418
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000370053
ANTHEM PROVIDER ID
OH
05
—
2021270
—
OH
Enumeration date
08/15/2005
Last updated
07/08/2007
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