Provider Demographics
NPI:1083322887
Name:WELLHOUSE CHIROPRACTIC, PLLC.
Entity Type:Organization
Organization Name:WELLHOUSE CHIROPRACTIC, PLLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:HUNTER
Authorized Official - Middle Name:MCDONALD
Authorized Official - Last Name:SCOTHORN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:540-521-7560
Mailing Address - Street 1:811 ARBOR ST NE
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-3005
Mailing Address - Country:US
Mailing Address - Phone:540-521-7560
Mailing Address - Fax:
Practice Address - Street 1:116 S MAIN STREET
Practice Address - Street 2:
Practice Address - City:KANNAPOLIS
Practice Address - State:NC
Practice Address - Zip Code:28081-2808
Practice Address - Country:US
Practice Address - Phone:540-521-7560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-10
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty