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Individual

RICHARD SCHEITHAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
5361 OBERLIN AVE, LORAIN, OH 44053-3437
(440) 282-7132
Mailing address
5361 OBERLIN AVE, LORAIN, OH 44053-3437
(440) 282-7132

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1099
OH
111N00000X
Chiropractor
CH 4815
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0585719
OH
01
1099
STATE LICENSE ID #
OH
01
34-1656020
TAXPAYER ID
01
34165606000
WORKERS' COMPENSATION ID
OH
01
CH4815
STATE LICENSE ID #
FL
01
SC0566002
MEDICARE INDIVIDUAL ID
Enumeration date
12/02/2006
Last updated
05/01/2022
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