Provider Demographics
NPI:1730245127
Name:POYLE, GEOFFREY ALBERT (DC)
Entity type:Individual
Prefix:DR
First Name:GEOFFREY
Middle Name:ALBERT
Last Name:POYLE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5395 N ABBE RD
Mailing Address - Street 2:
Mailing Address - City:SHEFFIELD VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44035-1449
Mailing Address - Country:US
Mailing Address - Phone:440-934-2273
Mailing Address - Fax:440-934-0082
Practice Address - Street 1:5395 N ABBE RD
Practice Address - Street 2:
Practice Address - City:SHEFFIELD VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44035-1449
Practice Address - Country:US
Practice Address - Phone:440-934-2273
Practice Address - Fax:440-934-0082
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2200111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0144678Medicaid
OH0144678Medicaid
OHU56437Medicare UPIN