Provider Demographics
NPI:1326128240
Name:PREFERRED WELLNESS P.L.L.C.
Entity Type:Organization
Organization Name:PREFERRED WELLNESS P.L.L.C.
Other - Org Name:PREFERRED WELLNESS CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:DEE
Authorized Official - Last Name:PAGE
Authorized Official - Suffix:II
Authorized Official - Credentials:DC
Authorized Official - Phone:405-476-7083
Mailing Address - Street 1:4400 N HEMINGWAY DR
Mailing Address - Street 2:# 255
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73118-2241
Mailing Address - Country:US
Mailing Address - Phone:405-476-7083
Mailing Address - Fax:
Practice Address - Street 1:4400 N HEMINGWAY DR.
Practice Address - Street 2:# 255
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73118-2241
Practice Address - Country:US
Practice Address - Phone:405-476-7083
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3447111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty