Individual
BETH ESTELLE PRUETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
112 W BETHALTO BLVD, BETHALTO, IL 62010-1703
(618) 717-0621
Mailing address
112 W BETHALTO BLVD, BETHALTO, IL 62010-1703
(618) 717-0621
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038014008
IL
111N00000X
Chiropractor
08002983A
IN
Other
Enumeration date
07/13/2017
Last updated
09/25/2023
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