Organization
RICHARD M PELKOWSKI D.C., D.M.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD MARTIN PELKOWSKI D.C., D.M. (OWNER)
(330) 499-7020
Entity
Organization
Contact information
Practice address
9700 CLEVELAND AVE NW, GREENTOWN, OH 44630-0337
(330) 499-7020
(330) 499-1120
Mailing address
PO BOX 337, GREENTOWN, OH 44630-0337
(330) 499-7020
(330) 499-1120
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
144
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000127552
ANTHEM
OH
Enumeration date
04/10/2008
Last updated
04/20/2008
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