Provider Demographics
NPI:1720591753
Name:ALTERNATIVE WELLNESS CENTER INC
Entity Type:Organization
Organization Name:ALTERNATIVE WELLNESS CENTER INC
Other - Org Name:ABSOLUTE WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:MARING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:515-457-2928
Mailing Address - Street 1:8525 DOUGLAS AVE STE 36
Mailing Address - Street 2:
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50322-2925
Mailing Address - Country:US
Mailing Address - Phone:515-457-2928
Mailing Address - Fax:515-528-9259
Practice Address - Street 1:8525 DOUGLAS AVE STE 36
Practice Address - Street 2:
Practice Address - City:URBANDALE
Practice Address - State:IA
Practice Address - Zip Code:50322-2925
Practice Address - Country:US
Practice Address - Phone:515-457-2928
Practice Address - Fax:515-528-9259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-13
Last Update Date:2017-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA7093111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty