Provider Demographics
NPI:1295127744
Name:WEALTH OF WELLNESS PC
Entity type:Organization
Organization Name:WEALTH OF WELLNESS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:M
Authorized Official - Last Name:LIPPERT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-776-9770
Mailing Address - Street 1:1659 ROUTE 228
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CRANBERRY TWP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-5319
Mailing Address - Country:US
Mailing Address - Phone:724-776-9770
Mailing Address - Fax:724-776-0949
Practice Address - Street 1:1659 ROUTE 228
Practice Address - Street 2:SUITE 101
Practice Address - City:CRANBERRY TWP
Practice Address - State:PA
Practice Address - Zip Code:16066-5319
Practice Address - Country:US
Practice Address - Phone:724-776-9770
Practice Address - Fax:724-776-0949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-20
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009632111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1022402410001Medicaid
PA139162Medicare UPIN