Provider Demographics
NPI:1720237720
Name:WELLINGTON FAMILY CHIROPRACTIC CO.
Entity Type:Organization
Organization Name:WELLINGTON FAMILY CHIROPRACTIC CO.
Other - Org Name:WELLINGTON FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:WELLINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:740-446-6964
Mailing Address - Street 1:21 CENTRAL AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:GALLIPOLIS
Mailing Address - State:OH
Mailing Address - Zip Code:45631-1803
Mailing Address - Country:US
Mailing Address - Phone:740-446-6965
Mailing Address - Fax:740-446-7391
Practice Address - Street 1:21 CENTRAL AVE
Practice Address - Street 2:SUITE B
Practice Address - City:GALLIPOLIS
Practice Address - State:OH
Practice Address - Zip Code:45631-1803
Practice Address - Country:US
Practice Address - Phone:740-446-6965
Practice Address - Fax:740-446-7391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-15
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty