Organization
OHIO HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZVONKO IVAN VUKOVIC D.C. (OWNER)
(888) 508-3375
Entity
Organization
Contact information
Practice address
17828 LAKE AVE, LAKEWOOD, OH 44107-1017
(888) 508-3375
(330) 468-8878
Mailing address
17828 LAKE AVE, LAKEWOOD, OH 44107-1017
(888) 508-3375
(330) 468-8878
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3588
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
273727881-00
WORKERS COMPENSATION
OH
01
—
731010361-00
WORKERS COMPENSATION
OH
01
—
731010361004
MEDICAL MUTUAL
OH
Enumeration date
02/05/2007
Last updated
08/22/2020
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