MEDICARE: DR. ERIC THOMAS BEISTLINE D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	3459	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1066659	OTHER	OH	AMERICAN SPECIALTY HEALTH
2	7565561	OTHER	OH	AETNA INDIVIDUAL NUMBER
3	20060717473204033	OTHER	OH	AMERICAN WHOLE HEALTH
4	000000384971	OTHER	OH	ANTHEM BC BS
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	666124	OTHER	OH	ACN GROUP
7	861145389	OTHER	OH	HEALTHSPAN

General Provider Information

NPI Number	:	1659430635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC THOMAS BEISTLINE D.C.

Provider Business Mailing Address
First Line	:	PO BOX 26
Second Line	:
City	:	ENON
State	:	OH
Zip	:	45323-0026
Country	:	US
Telephone Number	:	937-864-1404
Fax Number	:	937-864-2366

Provider Business Practice Location Address
First Line	:	3321 DAYTON SPRINGFIELD RD
Second Line	:
City	:	SPRINGFIELD
State	:	OH
Zip	:	45506-1758
Country	:	US
Telephone Number	:	937-864-1404
Fax Number	:	937-717-0207

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2006
Last Update Date	:	06/01/2026

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