Individual
LESLEE C SCHORK-BEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
505 W EMMITT AVE, SUITE 2, WAVERLY, OH 45690-1083
(740) 941-4311
(740) 947-9884
Mailing address
505 W EMMITT AVE, SUITE 2, WAVERLY, OH 45690-1083
(740) 941-4311
(740) 947-9884
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2609
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2098902
—
OH
Enumeration date
07/24/2006
Last updated
05/16/2013
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