Provider Demographics
NPI:1841243391
Name:TOTAL WELLNESS CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:TOTAL WELLNESS CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:F
Authorized Official - Last Name:ACOX
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:810-735-9750
Mailing Address - Street 1:616 W BROAD ST
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:MI
Mailing Address - Zip Code:48451-8645
Mailing Address - Country:US
Mailing Address - Phone:810-735-0750
Mailing Address - Fax:810-735-0171
Practice Address - Street 1:616 W BROAD ST
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:MI
Practice Address - Zip Code:48451-8645
Practice Address - Country:US
Practice Address - Phone:810-735-0750
Practice Address - Fax:810-735-0171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008819111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIY16149Medicare UPIN
MION96660Medicare ID - Type Unspecified