Provider Demographics
NPI:1275715575
Name:KLEIN WELLNESS HOLDINGS, P.C.
Entity Type:Organization
Organization Name:KLEIN WELLNESS HOLDINGS, P.C.
Other - Org Name:LAKECREST CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:205-988-9898
Mailing Address - Street 1:2341 JOHN HAWKINS PKWY
Mailing Address - Street 2:SUITE 125
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-3503
Mailing Address - Country:US
Mailing Address - Phone:205-988-9898
Mailing Address - Fax:205-988-9822
Practice Address - Street 1:2341 JOHN HAWKINS PKWY
Practice Address - Street 2:SUITE 125
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-3503
Practice Address - Country:US
Practice Address - Phone:205-988-9898
Practice Address - Fax:205-988-9822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-29
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2152111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty