Provider Demographics
NPI:1578717427
Name:CENTER FOR SPINECARE AND NATURAL MEDICINE, LLC.
Entity Type:Organization
Organization Name:CENTER FOR SPINECARE AND NATURAL MEDICINE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:PALGUT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:440-944-4300
Mailing Address - Street 1:34820 CHARDON RD
Mailing Address - Street 2:
Mailing Address - City:WILLOUGHBY
Mailing Address - State:OH
Mailing Address - Zip Code:44094-9103
Mailing Address - Country:US
Mailing Address - Phone:440-944-4300
Mailing Address - Fax:440-944-4302
Practice Address - Street 1:34820 CHARDON RD
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY
Practice Address - State:OH
Practice Address - Zip Code:44094-9103
Practice Address - Country:US
Practice Address - Phone:440-944-4300
Practice Address - Fax:440-944-4302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-05
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty