Individual
DR. ERIC THOMAS BEISTLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
340 E MAIN ST, SUITE C, ENON, OH 45323-1058
(937) 864-1404
(937) 864-2366
Mailing address
PO BOX 26, ENON, OH 45323-0026
(937) 864-1404
(937) 864-2366
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3459
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000384971
ANTHEM BC BS
OH
01
—
1066659
AMERICAN SPECIALTY HEALTH
OH
01
—
20060717473204033
AMERICAN WHOLE HEALTH
OH
05
—
2472060
—
OH
01
—
666124
ACN GROUP
OH
01
—
7565561
AETNA INDIVIDUAL NUMBER
OH
01
—
861145389
HEALTHSPAN
OH
Enumeration date
12/06/2006
Last updated
08/27/2008
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