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Individual

DR. ROBERT MICHAEL SECOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
12573 CHILLICOTHE RD STE 3, CHESTERLAND, OH 44026-2536
(440) 729-0612
(440) 729-0613
Mailing address
12573 CHILLICOTHE RD STE 3, CHESTERLAND, OH 44026-2536
(440) 729-0612
(440) 729-0613

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1100
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000139586
ANTHEM BLUE CROSS
OH
01
34181455900
WORKERS COMPENSATION
OH
01
341814559001
MEDICAL MUTUAL
OH
01
44-00302
UNITED HEALTHCARE
OH
Enumeration date
02/15/2007
Last updated
05/18/2020
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