# ASC WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ASC WELLNESS LLC
- **Other names:** Advanced Spinal Care Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1609353630
- **Legal business name:** ASC WELLNESS LLC
- **Authorized official:** DR. MICHAEL P POLSINELLI D.C. (OWNER)
- **Authorized official phone:** (440) 461-9774

## Contact information

- **Practice address:** 6501 WILSON MILLS RD STE B, MAYFIELD VILLAGE, OH 44143-3442
- **Practice address phone:** (440) 461-9774
- **Practice address fax:** (440) 943-6716
- **Mailing address:** 6501 WILSON MILLS RD STE B, MAYFIELD VILLAGE, OH 44143-3442
- **Mailing address phone:** (440) 461-9774
- **Mailing address fax:** (440) 943-6716

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | OH3327 | OH | Yes |

## Other

- **Enumeration date:** 07/23/2018
- **Last updated:** 01/11/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | H674460 | MEDICARE - PTAN | OH |