Individual
DR. JAMES THOMAS TASSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
412 E COLUMBUS AVE, BELLEFONTAINE, OH 43311-2004
(937) 593-7711
(937) 593-7714
Mailing address
412 E COLUMBUS AVE, BELLEFONTAINE, OH 43311-2004
(937) 593-7711
(937) 593-7714
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1492
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
341812722-6A00
ANTHEM ID
OH
01
—
4480521
UNITED HEALTHCARE ID
OH
01
—
7521286885
ADVANCE PLAN
OH
Enumeration date
11/09/2006
Last updated
07/08/2007
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