Provider Demographics
NPI:1740528504
Name:QUAKERTOWN WELLNESS CENTER
Entity type:Organization
Organization Name:QUAKERTOWN WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:KELLEY
Authorized Official - Middle Name:M
Authorized Official - Last Name:BEST
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:610-802-1768
Mailing Address - Street 1:450 S WEST END BLVD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-1484
Mailing Address - Country:US
Mailing Address - Phone:610-802-1768
Mailing Address - Fax:610-419-0423
Practice Address - Street 1:450 S WEST END BLVD
Practice Address - Street 2:SUITE 3
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-1484
Practice Address - Country:US
Practice Address - Phone:610-802-1768
Practice Address - Fax:610-419-0423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-29
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006857L111N00000X, 111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty