Provider Demographics
NPI:1841559028
Name:WELL ADJUSTED WELLNESS CENTER LLC
Entity Type:Organization
Organization Name:WELL ADJUSTED WELLNESS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JANELLE
Authorized Official - Middle Name:MAIMIE
Authorized Official - Last Name:CURLEE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:920-955-9355
Mailing Address - Street 1:612 E LONGVIEW DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54911-2155
Mailing Address - Country:US
Mailing Address - Phone:920-955-9355
Mailing Address - Fax:920-955-9356
Practice Address - Street 1:612 E. LONGVIEW DR
Practice Address - Street 2:SUITE B
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54911
Practice Address - Country:US
Practice Address - Phone:920-955-9355
Practice Address - Fax:920-955-9356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-09
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4681-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1215230172OtherNPI
WI701080002OtherMEDICARE PTAN