Provider Demographics
NPI:1124566211
Name:BLUE APPLE WELLNESS, LLP
Entity Type:Organization
Organization Name:BLUE APPLE WELLNESS, LLP
Other - Org Name:BLUE APPLE WALK IN CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WADE
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:DARR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:406-404-1236
Mailing Address - Street 1:1008 N 7TH AVE
Mailing Address - Street 2:SUITE I
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-2567
Mailing Address - Country:US
Mailing Address - Phone:406-600-5039
Mailing Address - Fax:
Practice Address - Street 1:1008 N 7TH AVE
Practice Address - Street 2:SUITE I
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-2567
Practice Address - Country:US
Practice Address - Phone:406-600-5039
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-08
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND643111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty