Provider Demographics
NPI:1134437577
Name:BEWELL SOLUTIONS
Entity type:Organization
Organization Name:BEWELL SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLOVAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-696-2205
Mailing Address - Street 1:3681 GREEN RD
Mailing Address - Street 2:SUITE 410
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5726
Mailing Address - Country:US
Mailing Address - Phone:216-378-0888
Mailing Address - Fax:216-360-9712
Practice Address - Street 1:3681 GREEN RD
Practice Address - Street 2:SUITE 410
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44122-5726
Practice Address - Country:US
Practice Address - Phone:216-378-0888
Practice Address - Fax:216-360-9712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-20
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty