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NPI · 1104500925 · NPPES-sourced

Great Lakes Sport And Spine

ActiveChiropractor
NPI Number
1104500925
Type 2 · Organisation
Taxonomy Code
111N00000X
Contact
(440) 503-6683
Primary practice line
Last Updated
About 2 years ago (Jun 2023)
Enumerated 2023-06-12
Primary practice addressOH · 44094-4197
34940 Ridge Rd Ste BWilloughby, OH 44094-4197
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About this NPIWhat this record shows.

NPI 1104500925 is registered to Great Lakes Sport And Spine, a healthcare organisation classified as "Chiropractor" and located at 34940 Ridge Rd Ste B in Willoughby, Ohio. The organisation's authorised official is Matthew Martin. The organisation has been enumerated in the NPI registry since 2023.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
2023-06-12
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Great Lakes Sport And Spine accepts. To confirm in-network status with your specific health plan, contact Great Lakes Sport And Spine directly at (440) 503-6683.

Frequently asked

Yes. NPI 1104500925 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Chiropractor is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (440) 503-6683.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Great Lakes Sport And Spine is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy111N00000X
Last updated2023-06
Enumerated2023-06-12
StatusActive
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