Provider Demographics
NPI:1750565347
Name:JOSEPH P. BELLONI, DC, INC.
Entity type:Organization
Organization Name:JOSEPH P. BELLONI, DC, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:P
Authorized Official - Last Name:BELLONI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:330-877-3177
Mailing Address - Street 1:843 W MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:HARTVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44632-9668
Mailing Address - Country:US
Mailing Address - Phone:330-877-3177
Mailing Address - Fax:330-877-3525
Practice Address - Street 1:140 GRAND TRUNK AVE SW
Practice Address - Street 2:SUITE D
Practice Address - City:HARTVILLE
Practice Address - State:OH
Practice Address - Zip Code:44632-8547
Practice Address - Country:US
Practice Address - Phone:330-877-3177
Practice Address - Fax:330-877-3525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-19
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1623111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9272571Medicare PIN