Organization
ASC WELLNESS LLC
Active
Parent organization
ASC WELLNESS LLC
Other names
Advanced Spinal Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASC WELLNESS LLC
Authorized official
DR. MICHAEL P POLSINELLI D.C. (OWNER)
(440) 461-9774
Entity
Organization
Contact information
Practice address
6501 WILSON MILLS RD STE B, MAYFIELD VILLAGE, OH 44143-3442
(440) 461-9774
(440) 943-6716
Mailing address
6501 WILSON MILLS RD STE B, MAYFIELD VILLAGE, OH 44143-3442
(440) 461-9774
(440) 943-6716
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
OH3327
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H674460
MEDICARE - PTAN
OH
Enumeration date
07/23/2018
Last updated
01/11/2024
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