Individual
BELOGIC ELLERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2621 VICTORY PKWY, CINCINNATI, OH 45206-1754
(513) 221-4673
Mailing address
3306 MILTON CT, CINCINNATI, OH 45229-3210
(513) 919-1442
(513) 873-3385
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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