Provider Demographics
NPI:1700562295
Name:ENLIGHT HEALTH COMPANY
Entity Type:Organization
Organization Name:ENLIGHT HEALTH COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEMESHEVA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:262-236-9474
Mailing Address - Street 1:11520 N PORT WASHINGTON RD STE 101B
Mailing Address - Street 2:
Mailing Address - City:MEQUON
Mailing Address - State:WI
Mailing Address - Zip Code:53092-3432
Mailing Address - Country:US
Mailing Address - Phone:262-236-9474
Mailing Address - Fax:262-236-9474
Practice Address - Street 1:11520 N PORT WASHINGTON RD STE 101B
Practice Address - Street 2:
Practice Address - City:MEQUON
Practice Address - State:WI
Practice Address - Zip Code:53092-3432
Practice Address - Country:US
Practice Address - Phone:262-236-9474
Practice Address - Fax:262-236-9474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Multi-Specialty