SWETLIC CHIROPRACTIC & REHABILITATION CENTER, INC (NPI# 1265629356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265629356 |
| Entity Type | Organization |
| Organization Name | SWETLIC CHIROPRACTIC & REHABILITATION CENTER, INC |
| Practice Address |
11 Woodlake Trl Mount Vernon OH 43050-8113 |
| Practice Telephone | 7403921407 |
| Practice Fax Number | 7403920334 |
| Mailing Telephone | 7403921407 |
| Mailing Fax Number | 7403920334 |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2008-06-10 |
| Authorized Official Name | MRS. BECKIE SWETLIC (OFFICER) |
| Authorized Official Telephone | 7403921407 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1259 | OH | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0720152 | 05 | |
| OH | AETNA LIFE CASUALTY | 4549474 | 01 |
| OR | RAIL ROAD MEDICARE | P00301046 | 01 |
| OH | BLUE CROSS BLUE SHEILD | 000000119111 | 01 |
| OH | MEDICAL MUTUAL | 295643739002 | 01 |
| Street Address |
11 WOODLAKE TRL |
| City | MOUNT VERNON |
| State | OH |
| Zip Code | 43050-8113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952387169 | Daniel Lee Smith | Family Medicine | 11 Woodlake Trl, Suite A, Mount Vernon, OH 43050-8113 | 2005-12-20 |
| 1033288956 | James A Swetlic | Chiropractor | 11 Woodlake Trl, Mount Vernon, OH 43050-8113 | 2006-11-07 |
| 1720173511 | Daniel L. Smith, D.o., Inc. | Family Medicine | 11 Woodlake Trl, Suite A, Mount Vernon, OH 43050-8113 | 2006-10-04 |
| 1619991379 | Knox Family Medicine | Family Medicine | 11 Woodlake Trl, Suite A, Mount Vernon, OH 43050-8113 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043739972 | Roxanne Renee Berry | Case Manager/Care Coordinator | Bhp 8402 Blackjack Rd, Mt Vernon, OH 43050 | 2017-09-12 |
| 1477079309 | Blaine Elizabeth Barr | Case Manager/Care Coordinator | 510 Mitchell Avenue, Mount Vernon, OH 43050 | 2017-08-22 |
| 1205351004 | Knox Community Hospital | Durable Medical Equipment & Medical Supplies | 1330 Coshocton Ave., Mount Vernon, OH 43050 | 2017-08-14 |
| 1568998722 | Jami Passwaters | Case Manager/Care Coordinator | 8402 Blackjack Road, Mount Vernon, OH 43050 | 2017-05-10 |
| 1962892661 | Mount Vernon Nh LLC | Assisted Living Facility | 1135 East Gambier Street, Mount Vernon, OH 43050 | 2015-02-02 |
| 1881009017 | Pamela Robinson | Licensed Practical Nurse | 10263 Tucker Road, Mount Vernon, OH 43050 | 2014-06-26 |
| 1356756837 | Charla Sue Johnson | Licensed Practical Nurse | 228 Delano Street, Mt Vernon, OH 43050 | 2014-06-24 |
| 1588076236 | Erica Ferrell | Licensed Practical Nurse | 701 West Burgess Street, Mount Vernon, OH 43050 | 2014-05-29 |
| 1386085637 | Genesis Rehab Services | Assisted Living Facility | 6918 Wigton Road, Mount Vernon, OH 43050 | 2013-07-16 |
| 1427310473 | Jonathan Titus Hardin | Family Medicine | 1330 Coschocton Road, Mount Vernon, OH 43050 | 2012-06-14 |
| Find all providers in zip 43050 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1861902207 | Sarah Lisa Kotlerman | Chiropractor | 13103 Sunday Ln, Mount Vernon, WA 98273-8025 | 2017-10-11 |
| 1043677487 | Devin Jo Daniels | Chiropractor | 14580 Wooster Rd, Mount Vernon, OH 43050-9774 | 2016-01-15 |
| 1407269251 | Scott Aaron Brown | Chiropractor | 1600 Roosevelt Avenue, Suite A, Mount Vernon, WA 98273 | 2014-06-10 |
| 1144589920 | Hansen Chiropractic | Chiropractor | 1825 Riverside Dr Suite A, Mount Vernon, WA 98273-5412 | 2012-05-14 |
| 1457665606 | Lance M Potter Pllc | Chiropractor | 1933 Farm Road 115, Ste B, Mount Vernon, TX 75457-7434 | 2010-07-29 |
| 1407189434 | Kent Mcmahon | Chiropractor | 1009 S 42nd St Ste 2b, 2, Mount Vernon, IL 62864-6218 | 2009-09-09 |
| 1780815142 | A & E Chiropractic, Pllc | Chiropractor | 70 School St, Mount Vernon, KY 40456-2948 | 2009-08-04 |
| 1699916692 | Randi James Grafft | Chiropractor | 216 2nd St Sw, Mount Vernon, IA 52314-1630 | 2009-03-20 |
| 1568631505 | Jake Overholt | Chiropractor | 11 Woodlake Trl Ste B, Mount Vernon, OH 43050-8113 | 2008-02-25 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 43050 |
Please comment or provide details below to improve the information on SWETLIC CHIROPRACTIC & REHABILITATION CENTER, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.