Provider Demographics
NPI:1043426687
Name:MEJIAS HEALTH & WELLNESS PLLC
Entity Type:Organization
Organization Name:MEJIAS HEALTH & WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NESTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:MEJIAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:860-355-8494
Mailing Address - Street 1:1 OLD PARK LANE RD SUITE 3
Mailing Address - Street 2:
Mailing Address - City:NEW MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06776-2923
Mailing Address - Country:US
Mailing Address - Phone:860-355-8494
Mailing Address - Fax:860-354-9468
Practice Address - Street 1:1 OLD PARK LANE RD SUITE 3
Practice Address - Street 2:
Practice Address - City:NEW MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06776-2923
Practice Address - Country:US
Practice Address - Phone:860-355-8494
Practice Address - Fax:860-354-9468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001495111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty