Provider Demographics
NPI:1689200495
Name:PANNELL WELLNESS SOLUTIONS PLLC
Entity Type:Organization
Organization Name:PANNELL WELLNESS SOLUTIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:COLEMAN
Authorized Official - Last Name:PANNELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:828-455-1819
Mailing Address - Street 1:5732 HIGHWAY 150 E
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:NC
Mailing Address - Zip Code:28037-6770
Mailing Address - Country:US
Mailing Address - Phone:828-455-1819
Mailing Address - Fax:
Practice Address - Street 1:10716 OVERLOOK MOUNTAIN DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28216-7812
Practice Address - Country:US
Practice Address - Phone:828-455-1819
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-13
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty