Provider Demographics
NPI:1003004227
Name:LOWER BUCKS TOTAL HEALTH AND WELLNESS CENTER, P.C.
Entity Type:Organization
Organization Name:LOWER BUCKS TOTAL HEALTH AND WELLNESS CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:FLOOD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:215-788-3608
Mailing Address - Street 1:103 MILL ST
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:PA
Mailing Address - Zip Code:19007-4806
Mailing Address - Country:US
Mailing Address - Phone:215-788-3608
Mailing Address - Fax:215-788-1020
Practice Address - Street 1:103 MILL ST
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:PA
Practice Address - Zip Code:19007-4806
Practice Address - Country:US
Practice Address - Phone:215-788-3608
Practice Address - Fax:215-788-1020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-12
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009511111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty