Organization
CHIROPRACTIC CENTER OF NORTHFIELD LLC
Active
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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