Organization
SOUTHSIDE WELLNESS CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHOSHANA SEVEL LOERCH DC (OWNER/ CHIROPRACTOR)
(440) 840-7419
Entity
Organization
Contact information
Practice address
7664 BROADVIEW RD, PARMA, OH 44134-6746
(440) 840-7419
Mailing address
7664 BROADVIEW RD, PARMA, OH 44134-6746
(440) 840-7419
(440) 628-3503
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992049985
NPI INDIVIDUAL
—
Enumeration date
04/02/2021
Last updated
04/30/2021
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