Provider Demographics
NPI:1659694149
Name:COMPREHENSIVE HEALTH & WELLNESS
Entity Type:Organization
Organization Name:COMPREHENSIVE HEALTH & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EVERETT
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:651-233-2403
Mailing Address - Street 1:2345 RICE ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:ROSEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55113-3741
Mailing Address - Country:US
Mailing Address - Phone:651-233-2403
Mailing Address - Fax:
Practice Address - Street 1:2345 RICE ST
Practice Address - Street 2:SUITE 203
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-3741
Practice Address - Country:US
Practice Address - Phone:651-233-2403
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-11
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3971111N00000X
MN1100171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty