Individual
DR. BRIAN I WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1956 W PROSPECT RD, ASHTABULA, OH 44004-6424
(440) 992-0160
(440) 998-0121
Mailing address
6608 AMELIA AVE, ASHTABULA, OH 44004
(440) 992-6022
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1012
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000481233
ANTHEM BLUE CROSS/BLUE SH
OH
01
—
4334935
AETNA
—
Enumeration date
04/24/2006
Last updated
10/09/2007
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