WELLNESSONE OF EAST BELLEVILLE LLC NPI 1912125485

NPI Information

WELLNESSONE OF EAST BELLEVILLE, LLC is a chiropractor in Belleville, IL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. WELLNESSONE OF EAST BELLEVILLE, LLC NPI is 1912125485. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1634 CARLYLE AVE
BELLEVILLE, IL
ZIP 62221-558
Phone: (618) 235-0777
Fax: (618) 235-9440

The provider's authorized official is Scott M Dorrity .
The authorized official title is Managing Employee and has the following contact phone number (618) 398-9716.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 10/11/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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