Provider Demographics
NPI:1952633893
Name:FIVE ELEMENTS WELLNESS, LLC
Entity Type:Organization
Organization Name:FIVE ELEMENTS WELLNESS, LLC
Other - Org Name:BAKERVIEW FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:ADRIAN
Authorized Official - Last Name:HIGHTOWER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:864-297-6270
Mailing Address - Street 1:14 E BUTLER RD STE C
Mailing Address - Street 2:
Mailing Address - City:MAULDIN
Mailing Address - State:SC
Mailing Address - Zip Code:29662-2402
Mailing Address - Country:US
Mailing Address - Phone:706-201-1219
Mailing Address - Fax:
Practice Address - Street 1:14 E BUTLER RD STE C
Practice Address - Street 2:
Practice Address - City:MAULDIN
Practice Address - State:SC
Practice Address - Zip Code:29662-2402
Practice Address - Country:US
Practice Address - Phone:864-297-6270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-03
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty