Provider Demographics
NPI:1164936993
Name:ANTHONY CHIROPRACTIC AND WELLNESS, INC.
Entity Type:Organization
Organization Name:ANTHONY CHIROPRACTIC AND WELLNESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:ANTHONY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:325-788-2000
Mailing Address - Street 1:1917 INDUSTRIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79602-7833
Mailing Address - Country:US
Mailing Address - Phone:325-788-2000
Mailing Address - Fax:325-788-2020
Practice Address - Street 1:1917 INDUSTRIAL BLVD
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79602-7833
Practice Address - Country:US
Practice Address - Phone:325-788-2000
Practice Address - Fax:325-788-2020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-01
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11744111N00000X, 111NP0017X, 111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No111NP0017XChiropractic ProvidersChiropractorPediatric ChiropractorGroup - Multi-Specialty
No111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX11744OtherTEXAS BOARD OF CHIROPRACTIC EXAMINERS