Provider Demographics
NPI:1437848264
Name:WELLNESS WITHIN FAMILY CHIROPRACTIC, PLLC
Entity Type:Organization
Organization Name:WELLNESS WITHIN FAMILY CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:MADISON
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAMPAGNE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:989-315-1146
Mailing Address - Street 1:296 S 7 MILE RD
Mailing Address - Street 2:
Mailing Address - City:LINWOOD
Mailing Address - State:MI
Mailing Address - Zip Code:48634-9707
Mailing Address - Country:US
Mailing Address - Phone:989-315-1146
Mailing Address - Fax:
Practice Address - Street 1:3101 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48642-3752
Practice Address - Country:US
Practice Address - Phone:989-492-0503
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-08
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty