Provider Demographics
NPI:1225057359
Name:HEATH CHIROPRACTIC AND WELLNESS CENTER
Entity Type:Organization
Organization Name:HEATH CHIROPRACTIC AND WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:HEATH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:970-618-1649
Mailing Address - Street 1:2381 E WINDMILL LN
Mailing Address - Street 2:SUITE 6
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-2068
Mailing Address - Country:US
Mailing Address - Phone:702-228-9994
Mailing Address - Fax:702-568-9994
Practice Address - Street 1:2381 E WINDMILL LN
Practice Address - Street 2:SUITE 6
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-2068
Practice Address - Country:US
Practice Address - Phone:702-228-9994
Practice Address - Fax:702-568-9994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2012-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB01448111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty