Provider Demographics
NPI:1013779925
Name:JACHIMEK WELLNESS CENTER
Entity Type:Organization
Organization Name:JACHIMEK WELLNESS CENTER
Other - Org Name:JACHIMEK CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIET
Authorized Official - Middle Name:
Authorized Official - Last Name:WORLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:410-456-5326
Mailing Address - Street 1:1717 COACHMAKERS LN
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-1705
Mailing Address - Country:US
Mailing Address - Phone:410-456-5326
Mailing Address - Fax:
Practice Address - Street 1:5111 EHRLICH RD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33624-2075
Practice Address - Country:US
Practice Address - Phone:813-960-2225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-25
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty