Provider Demographics
NPI:1053680355
Name:UNITED WELLNESS CENTERS INC
Entity Type:Organization
Organization Name:UNITED WELLNESS CENTERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SILVIO
Authorized Official - Middle Name:
Authorized Official - Last Name:COZZETTO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:248-792-6570
Mailing Address - Street 1:750 S OLD WOODWARD AVE
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-6600
Mailing Address - Country:US
Mailing Address - Phone:248-792-6570
Mailing Address - Fax:
Practice Address - Street 1:2329 STONEBRIDGE DR BLDG E
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-5407
Practice Address - Country:US
Practice Address - Phone:810-471-4280
Practice Address - Fax:810-355-2277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-16
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI111N00000X, 207Q00000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty