Provider Demographics
NPI:1659193886
Name:COMPLETE WELLNESS CHIROPRACTIC LLC
Entity type:Organization
Organization Name:COMPLETE WELLNESS CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:POPE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-305-0706
Mailing Address - Street 1:14358 N FRANK LLOYD WRIGHT BLVD STE B-15
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-8845
Mailing Address - Country:US
Mailing Address - Phone:480-520-7000
Mailing Address - Fax:
Practice Address - Street 1:14358 N FRANK LLOYD WRIGHT BLVD STE B-15
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-8845
Practice Address - Country:US
Practice Address - Phone:480-520-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-29
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty