Provider Demographics
NPI:1649583352
Name:NEW BEDFORD HEALTH AND WELLNESS CENTER
Entity type:Organization
Organization Name:NEW BEDFORD HEALTH AND WELLNESS CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:SLAWSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:508-717-0222
Mailing Address - Street 1:183 ORCHARD ST
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740-3469
Mailing Address - Country:US
Mailing Address - Phone:508-675-7774
Mailing Address - Fax:508-675-3077
Practice Address - Street 1:183 ORCHARD ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-3469
Practice Address - Country:US
Practice Address - Phone:508-675-7774
Practice Address - Fax:508-675-3077
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW ENGLAND SPINE AND DISC CENTER OF MASSACHUSETTS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-07-22
Last Update Date:2011-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA468111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty