Healthcare Provider Details

I. General information

NPI: 1497943211
Provider Name (Legal Business Name): JOSEPH PAUL BELLONI D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2007
Last Update Date: 09/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

843 W MAPLE ST
HARTVILLE OH
44632-9668
US

IV. Provider business mailing address

843 W MAPLE ST
HARTVILLE OH
44632-9668
US

V. Phone/Fax

Practice location:
  • Phone: 300-877-3177
  • Fax: 330-877-3525
Mailing address:
  • Phone: 330-877-3177
  • Fax: 330-877-3525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1623
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: