Provider Demographics
NPI:1003194440
Name:ADELMAN, BETHANEY NICOLE (DC)
Entity Type:Individual
Prefix:DR
First Name:BETHANEY
Middle Name:NICOLE
Last Name:ADELMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:BETHANEY
Other - Middle Name:NICOLE
Other - Last Name:LAWSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:6760 THRUSH DR STE C
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-7862
Mailing Address - Country:US
Mailing Address - Phone:614-834-4444
Mailing Address - Fax:614-834-4425
Practice Address - Street 1:6760 THRUSH DR
Practice Address - Street 2:SUITE C
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-7862
Practice Address - Country:US
Practice Address - Phone:614-834-4444
Practice Address - Fax:614-834-4425
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-03
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4041111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor