Provider Demographics
NPI:1609110303
Name:INFIELD, PAUL (DC, DACBSP)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:
Last Name:INFIELD
Suffix:
Gender:M
Credentials:DC, DACBSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22570 LAKE SHORE BLVD
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44123-1315
Mailing Address - Country:US
Mailing Address - Phone:216-938-7889
Mailing Address - Fax:216-965-0872
Practice Address - Street 1:22570 LAKE SHORE BLVD
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44123-1315
Practice Address - Country:US
Practice Address - Phone:216-938-7889
Practice Address - Fax:216-965-0872
Is Sole Proprietor?:No
Enumeration Date:2012-11-19
Last Update Date:2018-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4333111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor