Provider Demographics
NPI:1740511450
Name:COMMUNITY HEALTH AND WELLNESS, PLLC
Entity type:Organization
Organization Name:COMMUNITY HEALTH AND WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:RON
Authorized Official - Middle Name:T
Authorized Official - Last Name:DUMMAR
Authorized Official - Suffix:
Authorized Official - Credentials:DC, MAOM
Authorized Official - Phone:435-657-3696
Mailing Address - Street 1:345 W 600 S # 403
Mailing Address - Street 2:
Mailing Address - City:HEBER CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84032-2247
Mailing Address - Country:US
Mailing Address - Phone:435-657-3696
Mailing Address - Fax:435-657-3697
Practice Address - Street 1:345 W 600 S # 403
Practice Address - Street 2:
Practice Address - City:HEBER CITY
Practice Address - State:UT
Practice Address - Zip Code:84032-2247
Practice Address - Country:US
Practice Address - Phone:435-657-3696
Practice Address - Fax:435-657-3697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-19
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7227342-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty