Provider Demographics
NPI:1134247299
Name:A NATURAL WAY CHIROPRACTIC AND WELLNESS CENTER LLC
Entity type:Organization
Organization Name:A NATURAL WAY CHIROPRACTIC AND WELLNESS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER-OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:262-644-7050
Mailing Address - Street 1:PO BOX 39
Mailing Address - Street 2:344 E. WASHINGTON ST.
Mailing Address - City:SLINGER
Mailing Address - State:WI
Mailing Address - Zip Code:53086-0039
Mailing Address - Country:US
Mailing Address - Phone:262-644-7050
Mailing Address - Fax:262-644-7060
Practice Address - Street 1:344 E. WASHINGTON ST.
Practice Address - Street 2:
Practice Address - City:SLINGER
Practice Address - State:WI
Practice Address - Zip Code:53086-0039
Practice Address - Country:US
Practice Address - Phone:262-644-7050
Practice Address - Fax:262-644-7060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3250111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WIU67222Medicare UPIN