Provider Demographics
NPI:1740652809
Name:NATURAL HEALTH AND WELLNESS CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:NATURAL HEALTH AND WELLNESS CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:ALESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLEMING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:386-872-7167
Mailing Address - Street 1:1898 S CLYDE MORRIS BLVD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32119-1584
Mailing Address - Country:US
Mailing Address - Phone:386-872-7167
Mailing Address - Fax:
Practice Address - Street 1:1898 S CLYDE MORRIS BLVD
Practice Address - Street 2:SUITE 120
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32119-1584
Practice Address - Country:US
Practice Address - Phone:386-872-7167
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-28
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11686111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty