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Organization
ELYRIA CHIROPRACTIC SERVICES INC
Active
Organization
ELYRIA CHIROPRACTIC SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENE M BEDOCS DC (PRESIDENT)
(440) 365-8323
Entity
Organization
Contact information
Practice address
136 WINCKLES STREET, ELYRIA, OH 44035-6152
(440) 365-8323
(440) 365-8324
Mailing address
136 WINCKLES STREET, ELYRIA, OH 44035-6152
(440) 365-8323
(440) 365-8324
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
265
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000127998
ANTHEM BLUE CROSS BLUE SH
—
01
—
0004382094
AETNA HEALTHCARE
—
01
—
0651103
AETNA LIFE INSURANCE COMP
—
01
—
30144353400
OHIO BUREAU OF WORKERS CO
OH
01
—
30144353400
MEDICAL MUTUAL OF OHIO
—
01
—
4400203
UNITED HEALTHCARE
—
Enumeration date
09/20/2006
Last updated
08/22/2020
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