Provider Demographics
NPI:1245519719
Name:WELLNESSFIRST CHIROPRACTIC OF CARMEL LLC
Entity type:Organization
Organization Name:WELLNESSFIRST CHIROPRACTIC OF CARMEL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CLOTHIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-268-3237
Mailing Address - Street 1:20 EXECUTIVE DRIVE
Mailing Address - Street 2:STE. F
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-2988
Mailing Address - Country:US
Mailing Address - Phone:317-846-4400
Mailing Address - Fax:
Practice Address - Street 1:20 EXECUTIVE DR
Practice Address - Street 2:STE. F
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-2921
Practice Address - Country:US
Practice Address - Phone:317-846-4400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-15
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty