Provider Demographics
NPI:1477795193
Name:SOLWELU
Entity Type:Organization
Organization Name:SOLWELU
Other - Org Name:THE WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO AND OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:BURKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-727-2989
Mailing Address - Street 1:4201 E 54TH ST
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55417-2245
Mailing Address - Country:US
Mailing Address - Phone:612-727-2989
Mailing Address - Fax:612-727-1445
Practice Address - Street 1:4201 E 54TH ST
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55417-2245
Practice Address - Country:US
Practice Address - Phone:612-727-2989
Practice Address - Fax:612-727-1445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-26
Last Update Date:2009-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty