Provider Demographics
NPI:1841583945
Name:EUCLID LIFEFORCE CORPORATION
Entity Type:Organization
Organization Name:EUCLID LIFEFORCE CORPORATION
Other - Org Name:EUCLID ORTHOPEDICS & SPORTS MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:G
Authorized Official - Last Name:O'REILLY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:216-261-2055
Mailing Address - Street 1:8549 ANTLERS TRL
Mailing Address - Street 2:
Mailing Address - City:N RIDGEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44039-6406
Mailing Address - Country:US
Mailing Address - Phone:216-261-2055
Mailing Address - Fax:216-261-2050
Practice Address - Street 1:25941 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44132-2723
Practice Address - Country:US
Practice Address - Phone:216-261-2055
Practice Address - Fax:216-261-2050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-23
Last Update Date:2011-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty