Provider Demographics
NPI:1326072331
Name:GREGORY G. KEMPF, DC
Entity Type:Organization
Organization Name:GREGORY G. KEMPF, DC
Other - Org Name:ARCADE CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRACTIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:G
Authorized Official - Last Name:KEMPF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-522-0300
Mailing Address - Street 1:401 EUCLID AVE STE 140
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44114-2231
Mailing Address - Country:US
Mailing Address - Phone:216-522-0300
Mailing Address - Fax:216-522-0420
Practice Address - Street 1:401 EUCLID AVE STE 140
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44114-2231
Practice Address - Country:US
Practice Address - Phone:216-522-0300
Practice Address - Fax:216-522-0420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2049111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH=========-00OtherBUREAU OF WORKERS COMP