Provider Demographics
NPI:1477910354
Name:CHIROPRACTIC WELLNESS CENTER INC
Entity type:Organization
Organization Name:CHIROPRACTIC WELLNESS CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:CORMIER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:978-345-1224
Mailing Address - Street 1:114 MERRIAM AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-3175
Mailing Address - Country:US
Mailing Address - Phone:978-345-1224
Mailing Address - Fax:978-345-1418
Practice Address - Street 1:114 MERRIAM AVE STE 114
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-3175
Practice Address - Country:US
Practice Address - Phone:978-345-1224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-22
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty