Individual
DR. LEWIS EDMOND BENNETT II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
9309 OLDE 8 RD, NORTHFIELD, OH 44067-2060
(330) 467-6100
(330) 467-1792
Mailing address
7807 VALLEY VIEW RD, HUDSON, OH 44236-1248
(330) 656-3044
(330) 467-1792
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
1215
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0619898
—
OH
Enumeration date
11/08/2006
Last updated
02/27/2024
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