Provider Demographics
NPI:1598192262
Name:THE WELLNESS CONNECTION INC
Entity Type:Organization
Organization Name:THE WELLNESS CONNECTION INC
Other - Org Name:THE WELLNESS CONNECTION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLE
Authorized Official - Middle Name:J
Authorized Official - Last Name:SNYDER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:641-755-2000
Mailing Address - Street 1:130 W MAIN ST
Mailing Address - Street 2:PO BOX 623
Mailing Address - City:PANORA
Mailing Address - State:IA
Mailing Address - Zip Code:50216-1018
Mailing Address - Country:US
Mailing Address - Phone:641-755-2000
Mailing Address - Fax:
Practice Address - Street 1:130 W MAIN ST
Practice Address - Street 2:
Practice Address - City:PANORA
Practice Address - State:IA
Practice Address - Zip Code:50216-1018
Practice Address - Country:US
Practice Address - Phone:641-755-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-26
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA7687111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty