Organization
EASTWOOD HEALTH AND WELLNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD J MAYNARD JR JR. DC (OWNER)
(740) 687-0100
Entity
Organization
Contact information
Practice address
422 NORTH COLUMBUS STREET, LANCASTER, OH 43130
(740) 687-0100
(740) 687-0145
Mailing address
PO BOX 913, EASTWOOD HEALTH AND WELLNESS CENTER INC, LANCASTER, OH 43130
(740) 687-0100
(740) 687-0145
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
506
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0263530
—
OH
05
—
2283603
—
OH
01
—
DG4560
RR MEDICARE GROUP
OH
Enumeration date
12/05/2006
Last updated
04/29/2014
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