Provider Demographics
NPI:1033420328
Name:WALDROP CHIROPRACTIC AND WELLNESS, PLLC
Entity Type:Organization
Organization Name:WALDROP CHIROPRACTIC AND WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:WALDROP
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:662-546-4400
Mailing Address - Street 1:PO BOX 769
Mailing Address - Street 2:
Mailing Address - City:STARKVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39760-0769
Mailing Address - Country:US
Mailing Address - Phone:662-418-2612
Mailing Address - Fax:
Practice Address - Street 1:521 S MONTGOMERY ST STE 3
Practice Address - Street 2:
Practice Address - City:STARKVILLE
Practice Address - State:MS
Practice Address - Zip Code:39759-3337
Practice Address - Country:US
Practice Address - Phone:662-546-4400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-01
Last Update Date:2019-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty