Provider Demographics
NPI:1700080827
Name:ATWELL FAMILY CHIROPRACTIC AND WELLNESS CENTER PA
Entity Type:Organization
Organization Name:ATWELL FAMILY CHIROPRACTIC AND WELLNESS CENTER PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HUGH
Authorized Official - Middle Name:CLIFTON
Authorized Official - Last Name:ATWELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:772-286-5277
Mailing Address - Street 1:4408 SE COMMERCE AVE
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-5727
Mailing Address - Country:US
Mailing Address - Phone:772-286-5277
Mailing Address - Fax:772-286-9478
Practice Address - Street 1:4408 SE COMMERCE AVE
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34997-5727
Practice Address - Country:US
Practice Address - Phone:772-286-5277
Practice Address - Fax:772-286-9478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-13
Last Update Date:2012-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty