Provider Demographics
NPI:1851843783
Name:ADVANTAGE CORPORATE WELLNESS LLC
Entity Type:Organization
Organization Name:ADVANTAGE CORPORATE WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KARL
Authorized Official - Middle Name:
Authorized Official - Last Name:JESKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-548-7640
Mailing Address - Street 1:5850 RIDGE RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44129-3166
Mailing Address - Country:US
Mailing Address - Phone:440-882-3200
Mailing Address - Fax:
Practice Address - Street 1:5850 RIDGE RD
Practice Address - Street 2:SUITE A
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-3166
Practice Address - Country:US
Practice Address - Phone:440-882-3200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-26
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty