Provider Demographics
NPI:1841418993
Name:MUSSER CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:MUSSER CHIROPRACTIC, INC.
Other - Org Name:CLEVELAND WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:C
Authorized Official - Last Name:MUSSER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:440-975-2225
Mailing Address - Street 1:34734 VINE ST
Mailing Address - Street 2:
Mailing Address - City:WILLOWICK
Mailing Address - State:OH
Mailing Address - Zip Code:44095-5120
Mailing Address - Country:US
Mailing Address - Phone:440-975-2225
Mailing Address - Fax:440-942-9050
Practice Address - Street 1:34734 VINE ST
Practice Address - Street 2:
Practice Address - City:WILLOWICK
Practice Address - State:OH
Practice Address - Zip Code:44095-5120
Practice Address - Country:US
Practice Address - Phone:440-975-2225
Practice Address - Fax:440-942-9050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1924111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHMUO758231Medicare ID - Type Unspecified
OHU48543Medicare UPIN