Organization
HEALTHSOURCE OF NORTH OLMSTED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICH SHEPPARD (OWNER)
(440) 779-4226
Entity
Organization
Contact information
Practice address
24060 LORAIN RD, NORTH OLMSTED, OH 44070-2234
(440) 779-4226
Mailing address
24060 LORAIN RD, NORTH OLMSTED, OH 44070-2234
(440) 779-4226
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
2874
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2242228
—
OH
Enumeration date
08/06/2007
Last updated
08/06/2007
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