# SWETLIC CHIROPRACTIC & REHABILITATION CENTER, INC

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

## Provider details

- **NPI number:** 1265629356
- **Authorized official:** MRS. BECKIE SWETLIC MBA (OFFICER)
- **Authorized official phone:** (740) 392-1407

## Contact information

- **Practice address:** 11 WOODLAKE TRL, MOUNT VERNON, OH 43050-8113
- **Practice address phone:** (740) 392-1407
- **Practice address fax:** (740) 392-0334
- **Mailing address:** 11 WOODLAKE TRL, MOUNT VERNON, OH 43050-8113
- **Mailing address phone:** (740) 392-1407
- **Mailing address fax:** (740) 392-0334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 1259 | OH | Yes |

## Other

- **Enumeration date:** 10/02/2007
- **Last updated:** 06/10/2008

## 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 |