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Contact Information

AGE OF WELLNESS, LLC
2400 SUPERIOR AVE E
SUITE 213
CLEVELAND, OH44114-4236
 Phone: 404-916-9693
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

111NR0400X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for AGE OF WELLNESS LLC · (Female)

NPI # 1396118303
Status Active
Credentials
Entity Individual
Enumeration date 11/12/2015
Last updated 11/12/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • OH License # 4080
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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