Provider Demographics
NPI:1649652066
Name:DR. JAMIES WELLNESS CENTER LLC
Entity type:Organization
Organization Name:DR. JAMIES WELLNESS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:VICTORIA
Authorized Official - Last Name:BUNIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-434-7977
Mailing Address - Street 1:917 MERCHANTS WALK SW
Mailing Address - Street 2:SUITE A
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-5268
Mailing Address - Country:US
Mailing Address - Phone:256-434-7977
Mailing Address - Fax:256-401-9577
Practice Address - Street 1:917 MERCHANTS WALK SW
Practice Address - Street 2:SUITE A
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5268
Practice Address - Country:US
Practice Address - Phone:256-434-7977
Practice Address - Fax:256-401-9577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-22
Last Update Date:2015-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2189111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty