Provider Demographics
NPI:1659921112
Name:WELLNESS FOR ME, LLC
Entity Type:Organization
Organization Name:WELLNESS FOR ME, LLC
Other - Org Name:MEDI WEIGHLOSS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DO
Authorized Official - Prefix:DR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:GEBHART
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:937-898-2098
Mailing Address - Street 1:505 CORPORATE CENTER DR
Mailing Address - Street 2:
Mailing Address - City:VANDALIA
Mailing Address - State:OH
Mailing Address - Zip Code:45377-1169
Mailing Address - Country:US
Mailing Address - Phone:937-898-2098
Mailing Address - Fax:
Practice Address - Street 1:505 CORPORATE CENTER DR UNIT A
Practice Address - Street 2:
Practice Address - City:VANDALIA
Practice Address - State:OH
Practice Address - Zip Code:45377-1168
Practice Address - Country:US
Practice Address - Phone:937-898-2098
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-17
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QB0002XAllopathic & Osteopathic PhysiciansFamily MedicineObesity MedicineGroup - Single Specialty