Organization
CHIROPRACTIC CENTER OF NORTHFIELD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEWIS EDMOND BENNETT II D.C. (OWNER)
(330) 467-6100
Entity
Organization
Contact information
Practice address
9309 OLDE 8 RD, NORTHFIELD, OH 44067-2060
(330) 467-6100
(330) 467-1792
Mailing address
9309 OLDE 8 RD, NORTHFIELD, OH 44067-2060
(330) 467-6100
(330) 467-1792
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
1215
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0619898
—
OH
01
—
BE0582602 T48393
MEDICARE
OH
Enumeration date
04/22/2015
Last updated
02/27/2024
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