Wellnessone Of East Belleville, Llc

LBN: Wellnessone Of East Belleville, Llc
Wellnessone Of East Belleville, Llc is an health care organization with primary practice located at 1634 Carlyle Ave , Belleville IL 62221-4558. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Chiropractic Providers / Chiropractor is the primary health care specialty. Wellnessone Of East Belleville, Llc can be contacted via phone (618) 235-0777, or through Dorrity, Scott M via phone (618) 398-9716.

Contact Information

Primary practice address
1634 Carlyle Ave Belleville IL 62221-4558
Phone: (618) 235-0777
Fax: (618) 235-9440
Website:
Map and Directions
Authorized official contact:
Name: Dorrity, Scott M Doctor of Chiropractic (DC)
Phone: (618) 398-9716

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X Illinois

Profile Details

NPI number 1912125485
LBN Legal business name Wellnessone Of East Belleville, Llc
DBA Doing business as
Authorized official Dorrity, Scott M Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2007
Last updated Oct 11th, 2007 - about 18 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 1912125485 NPPES
Illinois Other 08212176 BCBS GROUP NUMBER

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