Individual
DR. BRIAN LEE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC,DAAPM
Contact information
Practice address
5445 DETROIT RD, SUITE 201, SHEFFIELD VILLAGE, OH 44054
(440) 240-9111
(440) 934-5459
Mailing address
5445 DETROIT RD, SUITE 201, SHEFFIELD VILLAGE, OH 44054
(440) 240-9111
(440) 934-5459
Taxonomy
Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
Primary
2954
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000324155
BCBS
OH
05
—
2290051
—
OH
Enumeration date
07/06/2006
Last updated
07/08/2007
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