Provider Demographics
NPI:1851878219
Name:AMS HOLDINGS, LLC
Entity Type:Organization
Organization Name:AMS HOLDINGS, LLC
Other - Org Name:TREE OF LIFE CHIROPRACTIC (TLC)
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER / CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:M
Authorized Official - Last Name:STOCKWELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:563-242-4555
Mailing Address - Street 1:202 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNA
Mailing Address - State:IL
Mailing Address - Zip Code:61074-1628
Mailing Address - Country:US
Mailing Address - Phone:815-273-4737
Mailing Address - Fax:563-242-9330
Practice Address - Street 1:202 MAIN ST
Practice Address - Street 2:
Practice Address - City:SAVANNA
Practice Address - State:IL
Practice Address - Zip Code:61074-1628
Practice Address - Country:US
Practice Address - Phone:815-273-4737
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-27
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA079081111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty