Provider Demographics
NPI:1750593075
Name:ELITE CHIROPRACTIC AND WELLNESS CENTERS PC
Entity type:Organization
Organization Name:ELITE CHIROPRACTIC AND WELLNESS CENTERS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PITTS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-330-2225
Mailing Address - Street 1:13923 GOLD CIR STE 103
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-2318
Mailing Address - Country:US
Mailing Address - Phone:402-330-2225
Mailing Address - Fax:
Practice Address - Street 1:13923 GOLD CIR STE 103
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-2318
Practice Address - Country:US
Practice Address - Phone:402-330-2225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty