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Organization
SWETLIC CHIROPRACTIC & REHABILITATION CENTER, INC
Active
Organization
SWETLIC CHIROPRACTIC & REHABILITATION CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BECKIE SWETLIC MBA (OFFICER)
(740) 392-1407
Entity
Organization
Contact information
Practice address
11 WOODLAKE TRL, MOUNT VERNON, OH 43050-8113
(740) 392-1407
(740) 392-0334
Mailing address
11 WOODLAKE TRL, MOUNT VERNON, OH 43050-8113
(740) 392-1407
(740) 392-0334
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1259
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000119111
BLUE CROSS BLUE SHEILD
OH
05
—
0720152
—
OH
01
—
295643739002
MEDICAL MUTUAL
OH
01
—
4549474
AETNA LIFE CASUALTY
OH
01
—
P00301046
RAIL ROAD MEDICARE
OR
Enumeration date
10/02/2007
Last updated
06/10/2008
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