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Organization

BLUECHIP INITIATIVE INC

Active
Other names
Ravenna Chiropractic & Acupuncture
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM DUSTIN BLUETER D.C. (OWNER)
(330) 297-9797
Entity
Organization

Contact information

Practice address
6693 N CHESTNUT ST, 128, RAVENNA, OH 44266-3922
(330) 297-9797
(330) 296-2329
Mailing address
6693 N CHESTNUT ST, 128, RAVENNA, OH 44266-3922
(330) 297-9797
(330) 296-2329

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
3483
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2672728
OH
Enumeration date
05/08/2007
Last updated
11/22/2023
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