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Organization
BELLEFONTAINE HEALTH & WELLNESS, LLC
Active
Organization
BELLEFONTAINE HEALTH & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANCE CHRISTOPHER HEATH D.C. (SNGLE MBR, LLC)
(937) 592-6321
Entity
Organization
Contact information
Practice address
1405 S DETROIT ST, BELLEFONTAINE, OH 43311-9709
(937) 592-6321
(937) 592-7644
Mailing address
1405 S DETROIT ST, BELLEFONTAINE, OH 43311-9709
(937) 592-6321
(937) 592-7644
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000351117
ANTHEM GROUP NUMBER
OH
05
—
2552803
—
OH
Enumeration date
05/09/2007
Last updated
08/22/2020
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