Provider Demographics
NPI:1740646876
Name:SET HEALTH AND WELLNESS LLC
Entity type:Organization
Organization Name:SET HEALTH AND WELLNESS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:D
Authorized Official - Last Name:UNGEMACH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:570-956-2660
Mailing Address - Street 1:115 JEFFREY DR
Mailing Address - Street 2:
Mailing Address - City:SUGARLOAF
Mailing Address - State:PA
Mailing Address - Zip Code:18249-3649
Mailing Address - Country:US
Mailing Address - Phone:610-558-1001
Mailing Address - Fax:610-558-1180
Practice Address - Street 1:736 BALTIMORE PIKE
Practice Address - Street 2:SUITE 3
Practice Address - City:GLEN MILLS
Practice Address - State:PA
Practice Address - Zip Code:19342-1074
Practice Address - Country:US
Practice Address - Phone:610-558-1001
Practice Address - Fax:610-558-1180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-05
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007620L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty