Individual
DR. GEORGE W HEATHCOTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1 S MAIN ST STE 1, CHAGRIN FALLS, OH 44022-3225
(440) 893-8800
(440) 893-9422
Mailing address
1 S MAIN ST, SUITE 1, CHAGRIN FALLS, OH 44022-3225
(440) 893-8800
(440) 893-9422
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
2725
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
582433402
TAX I.D.
OH
Enumeration date
07/08/2006
Last updated
05/23/2013
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