Provider Demographics
NPI:1255061941
Name:EL WELCH ENTERPRISES LLC
Entity type:Organization
Organization Name:EL WELCH ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EL
Authorized Official - Middle Name:
Authorized Official - Last Name:WELCH
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:937-232-8231
Mailing Address - Street 1:5305 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45415-3644
Mailing Address - Country:US
Mailing Address - Phone:937-813-2378
Mailing Address - Fax:
Practice Address - Street 1:5305 N MAIN ST
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45415-3644
Practice Address - Country:US
Practice Address - Phone:937-813-2378
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-15
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy