Wellnessone of East Belleville, LLC

NPI #1912125485 in Belleville, Illinois

Provider Information

NPI Number: 1912125485
Entity Type: Organization
Organization Name: Wellnessone of East Belleville, LLC
Primary Specialty: Chiropractor
Enumeration Date: Apr 23, 2007
Last Updated: Oct 11, 2007

Practice Location

Address: 1634 CARLYLE AVE
City: Belleville
State: Illinois
ZIP Code: 62221-4558
Phone: (618) 235-0777

Authorized Official

Name: SCOTT M DORRITY, D.C.
Title: MANAGING EMPLOYEE
Phone: (618) 398-9716

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Chiropractor	111N00000X	Primary

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