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Organization

CONCORD CHIROPRACTIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES B. LONCAR D.C. (OWNER)
(440) 354-6767
Entity
Organization

Contact information

Practice address
9841 JOHNNYCAKE RIDGE RD., MENTOR, OH 44060-6729
(440) 354-6767
(440) 354-6919
Mailing address
9841 JOHNNYCAKE RIDGE RD., MENTOR, OH 44060-6729
(440) 354-6767
(440) 354-6919

Taxonomy

Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
1283
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4033022
MEDICARE INDIVIDUAL PIN
OH
Enumeration date
12/02/2006
Last updated
05/23/2009
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