# ELYRIA CHIROPRACTIC SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194823658
- **Authorized official:** DR. GENE M BEDOCS DC (PRESIDENT)
- **Authorized official phone:** (440) 365-8323

## Contact information

- **Practice address:** 136 WINCKLES STREET, ELYRIA, OH 44035-6152
- **Practice address phone:** (440) 365-8323
- **Practice address fax:** (440) 365-8324
- **Mailing address:** 136 WINCKLES STREET, ELYRIA, OH 44035-6152
- **Mailing address phone:** (440) 365-8323
- **Mailing address fax:** (440) 365-8324

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 265 | OH | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 08/22/2020

## 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 | — |