Provider Demographics
NPI:1295850279
Name:GALATI, SAM ANTHONY (DC)
Entity Type:Individual
Prefix:DR
First Name:SAM
Middle Name:ANTHONY
Last Name:GALATI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15887 SNOW RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BROOK PARK
Mailing Address - State:OH
Mailing Address - Zip Code:44142-2858
Mailing Address - Country:US
Mailing Address - Phone:216-661-3200
Mailing Address - Fax:216-661-3213
Practice Address - Street 1:15887 SNOW RD
Practice Address - Street 2:SUITE 101
Practice Address - City:BROOK PARK
Practice Address - State:OH
Practice Address - Zip Code:44142-2858
Practice Address - Country:US
Practice Address - Phone:216-661-3200
Practice Address - Fax:216-661-3213
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2009-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2721111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9352691Medicare ID - Type Unspecified