Provider Demographics
NPI:1093022907
Name:PURE HEALTH INC
Entity Type:Organization
Organization Name:PURE HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAYNA
Authorized Official - Middle Name:
Authorized Official - Last Name:NEVAR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:216-289-6970
Mailing Address - Street 1:26300 EUCLID AVE
Mailing Address - Street 2:SUITE 632
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44132-3708
Mailing Address - Country:US
Mailing Address - Phone:216-289-6970
Mailing Address - Fax:
Practice Address - Street 1:26300 EUCLID AVE
Practice Address - Street 2:SUITE 632
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44132-3708
Practice Address - Country:US
Practice Address - Phone:216-289-6970
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-13
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3816111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1053590596Medicare PIN