Provider Demographics
NPI:1417221037
Name:COMPREHENSIVE HEALTH & WELLNESS PC
Entity Type:Organization
Organization Name:COMPREHENSIVE HEALTH & WELLNESS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EVERETT
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:651-233-2403
Mailing Address - Street 1:7668 150TH ST W
Mailing Address - Street 2:SUITE 104
Mailing Address - City:APPLE VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55124-7193
Mailing Address - Country:US
Mailing Address - Phone:651-233-2403
Mailing Address - Fax:
Practice Address - Street 1:7668 150TH ST W
Practice Address - Street 2:SUITE 104
Practice Address - City:APPLE VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55124-7193
Practice Address - Country:US
Practice Address - Phone:651-233-2403
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-29
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3971111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty