Provider Demographics
NPI:1891820759
Name:BITNER, JOLIE
Entity Type:Individual
Prefix:
First Name:JOLIE
Middle Name:
Last Name:BITNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38291 STATE ROUTE 93
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:OH
Mailing Address - Zip Code:45634-8710
Mailing Address - Country:US
Mailing Address - Phone:740-384-5555
Mailing Address - Fax:740-384-5555
Practice Address - Street 1:38291 STATE ROUTE 93
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:OH
Practice Address - Zip Code:45634-8710
Practice Address - Country:US
Practice Address - Phone:740-384-5555
Practice Address - Fax:740-384-5555
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2788111NN1001X, 111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
No111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2201041-000Medicaid
OH450464721-00OtherWORKERS COMP OH
OH000007598340OtherHIGHMARK BCBS
OH1059454OtherWV WORKERS COMP
OH2298713Medicaid
OH44-02281OtherUNITED HEALTH CARE
OH45046472100OtherKAPPA BENEFIT SERVICES
OH000000180526OtherUNISON HEALTH PLAN
OH000000221094OtherBCBS ANTHEM
OH45046472100OtherHUMANA GOLD CHOICE
OH45046472100OtherACORDIA
OH0007598340OtherAETNA
OH000000221094OtherBCBS ANTHEM
OH0007598340OtherAETNA