Organization
MEDINA HEALTH AND WELLNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLAS HEARY DC (PRESIDENT)
(330) 721-4616
Entity
Organization
Contact information
Practice address
433 WEST LIBERTY ST, MEDINA, OH 44256
(330) 721-4616
(330) 721-8965
Mailing address
433 WEST LIBERTY ST, MEDINA, OH 44256
(330) 721-4616
(330) 721-8965
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2970
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB0754
RAILROAD MEDICARE
OH
Enumeration date
12/27/2006
Last updated
06/08/2010
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