Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 4041 | OH |
NPI | 1003194440 |
---|---|
Provider Name | Dr. Bethaney Nicole Adelman |
First Address | Canal Winchester, OH 43110-7862 |
Second Address | Canal Winchester, OH 43110-7862 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2011 |
Last Update Date | 17/05/2021 |