Individual
BRIAN GERALD SUPPLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1156 DUBLIN RD, STE 102, COLUMBUS, OH 43215-1095
(267) 328-5918
(215) 933-5290
Mailing address
1156 DUBLIN RD, STE 102, COLUMBUS, OH 43215-1095
(267) 328-5918
(267) 328-5918
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1465
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0339100
—
OH
Enumeration date
07/18/2005
Last updated
10/05/2017
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