Provider Demographics
NPI:1639425895
Name:BEYOND BONES HEALTH SOLUTIONS INC.
Entity Type:Organization
Organization Name:BEYOND BONES HEALTH SOLUTIONS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CHASE
Authorized Official - Middle Name:
Authorized Official - Last Name:DECUBELLIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:727-534-8017
Mailing Address - Street 1:4115 LITTLE RD
Mailing Address - Street 2:
Mailing Address - City:TRINITY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-1717
Mailing Address - Country:US
Mailing Address - Phone:727-376-2024
Mailing Address - Fax:
Practice Address - Street 1:4115 LITTLE RD
Practice Address - Street 2:
Practice Address - City:TRINITY
Practice Address - State:FL
Practice Address - Zip Code:34655-1717
Practice Address - Country:US
Practice Address - Phone:727-376-2024
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-25
Last Update Date:2017-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH10708111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty