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:
Authorized official contact:
Name: Dorrity, Scott M Doctor of Chiropractic (DC)
Phone: (618) 398-9716
Health care specialties
| Specialty | Code | License # | 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 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912125485 | NPPES |
| Illinois | Other | 08212176 | BCBS GROUP NUMBER |
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