Health Source Of Boardman

LBN: Lillibonn
Health Source Of Boardman is an health care organization with primary practice located at 6775 Applewood Blvd , Boardman OH 44512-4940. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Lillibonn can be contacted via phone (330) 758-2353, or through Rice, Ashley Elizabeth via phone (334) 318-7307.

Contact Information

Primary practice address
6775 Applewood Blvd Boardman OH 44512-4940
Phone: (330) 758-2353
Fax: (330) 758-9733
Website:
Map and Directions
Authorized official contact:
Name: Rice, Ashley Elizabeth Doctor of Chiropractic (DC)
Phone: (334) 318-7307

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1972189207
LBN Legal business name Lillibonn
DBA Doing business as Health Source Of Boardman
Authorized official Rice, Ashley Elizabeth Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 18th, 2021
Last updated Aug 12th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972189207 NPPES
Ohio Other LICENSE DC05023

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