Organization
ERIC T. BEISTLINE, D.C., LTD
Active
Other names
Beistline Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC THOMAS BEISTLINE D.C. (OWNER)
(937) 864-1404
Entity
Organization
Contact information
Practice address
340 E MAIN ST, SUITE C, ENON, OH 45323-1058
(937) 864-1404
(937) 864-2366
Mailing address
PO BOX 26, ENON, OH 45323-0026
(937) 864-1404
(937) 864-2366
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3459
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7931744
AETNA GROUP ID
OH
Enumeration date
07/30/2007
Last updated
08/27/2008
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