Provider Demographics
NPI:1861773574
Name:THE WELLNESS STUDIO, GERMAN VILLAGE LLC
Entity type:Organization
Organization Name:THE WELLNESS STUDIO, GERMAN VILLAGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:E
Authorized Official - Last Name:BELLISSIMO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:614-603-8154
Mailing Address - Street 1:303 E LIVINGSTON AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-5760
Mailing Address - Country:US
Mailing Address - Phone:614-603-8154
Mailing Address - Fax:
Practice Address - Street 1:303 E LIVINGSTON AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-5760
Practice Address - Country:US
Practice Address - Phone:614-603-8154
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-08
Last Update Date:2018-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDC-04351111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty