Organization
JEFFERSON PARK SPINE SPECIALISTS, LLC
Active
Parent organization
JEFFERSON PARK SPINE SPECIALIST, LLC
Other names
MEDINA SPORTS AND FAMILY CHIROPRACTIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JEFFERSON PARK SPINE SPECIALIST, LLC
Authorized official
DR. RYAN PATRICK MEEHAN DC (OWNER/ PROVIDER)
(330) 920-1681
Entity
Organization
Contact information
Practice address
748 GRAHAM RD, CUYAHOGA FALLS, OH 44221-1042
(330) 920-1681
(330) 920-1669
Mailing address
748 GRAHAM RD, CUYAHOGA FALLS, OH 44221-1042
(330) 920-1681
(330) 920-1669
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0189203
—
OH
05
—
2353528
—
OH
Enumeration date
01/15/2009
Last updated
08/09/2024
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