Provider Demographics
NPI:1225159718
Name:ATTEMA, ROMKJE (DC)
Entity Type:Individual
Prefix:DR
First Name:ROMKJE
Middle Name:
Last Name:ATTEMA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:ROMKJE
Other - Middle Name:
Other - Last Name:MCKEIGAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:3461 WARRENSVILLE CENTER RD
Mailing Address - Street 2:SUITE 306
Mailing Address - City:SHAKER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5260
Mailing Address - Country:US
Mailing Address - Phone:216-751-8988
Mailing Address - Fax:216-751-8990
Practice Address - Street 1:3461 WARRENSVILLE CENTER RD
Practice Address - Street 2:SUITE 306
Practice Address - City:SHAKER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44122-5260
Practice Address - Country:US
Practice Address - Phone:216-751-8988
Practice Address - Fax:216-751-8990
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2997111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2204788Medicaid
OH2204788Medicaid
OHAT4033531Medicare ID - Type Unspecified