Provider Demographics
NPI:1467045666
Name:CNI HOLISTIC WELLNESS
Entity Type:Organization
Organization Name:CNI HOLISTIC WELLNESS
Other - Org Name:HEALTHSOURCE CHIROPRACTIC OF LEWISVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:INMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:972-333-1966
Mailing Address - Street 1:475 STATE HIGHWAY 121 BYP STE 100
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-8178
Mailing Address - Country:US
Mailing Address - Phone:972-315-3576
Mailing Address - Fax:
Practice Address - Street 1:475 STATE HIGHWAY 121 BYP STE 100
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-8178
Practice Address - Country:US
Practice Address - Phone:972-315-3576
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-18
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty