Individual
WILLIAM DUSTIN BLUETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6693 N CHESTNUT ST, SUITE 128, RAVENNA, OH 44266-3922
(330) 297-9797
(330) 296-2329
Mailing address
6693 N CHESTNUT ST, SUITE 128, RAVENNA, OH 44266-3922
(330) 297-9797
(330) 296-2329
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3483
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000323264
ANTHEM BCBS
OH
01
—
665061
UNITEDHEALTH CARE
OH
01
—
7011533
AETNA
OH
01
—
WB341321738
SUMMACARE
OH
Enumeration date
08/26/2006
Last updated
10/09/2012
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