Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 4083 | OH |
NPI | 1023323482 |
---|---|
Provider Name | Dr. Eric Robert Braunscheidel |
First Address | Macedonia, OH 44056-1762 |
Second Address | Streetsboro, OH 44241 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2010 |
Last Update Date | 15/03/2011 |