Provider Demographics
NPI:1437861465
Name:WELL ROOTED HEALTH, LLC
Entity Type:Organization
Organization Name:WELL ROOTED HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ANISH
Authorized Official - Middle Name:
Authorized Official - Last Name:BAJAJ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:908-855-7532
Mailing Address - Street 1:208 LENOX AVE # 194
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-5120
Mailing Address - Country:US
Mailing Address - Phone:908-588-7532
Mailing Address - Fax:888-314-3660
Practice Address - Street 1:208 LENOX AVE # 194
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-5120
Practice Address - Country:US
Practice Address - Phone:908-588-7532
Practice Address - Fax:888-314-3660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-21
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Multi-Specialty