Individual
ERIC BELL BRIGHTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5539 STATE ROUTE 15, BRYAN, OH 43506-8874
(419) 636-3133
(419) 636-3188
Mailing address
5539 STATE ROUTE 15, P O BOX 566, BRYAN, OH 43506-8874
(419) 636-3133
(419) 636-3188
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2957
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000193670
ANTHEM
OH
05
—
2182150
—
OH
01
—
2957
LICENSE
OH
01
—
341916840
TAX ID #
OH
01
—
350049885
RAILROAD MEDICARE
OH
Enumeration date
01/12/2007
Last updated
11/29/2011
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