Provider Demographics
NPI:1790581726
Name:HOME CHIROPRACTIC AND WELLNESS PLLC
Entity type:Organization
Organization Name:HOME CHIROPRACTIC AND WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELYSSA
Authorized Official - Middle Name:JO
Authorized Official - Last Name:SCHUURMANS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:605-464-4660
Mailing Address - Street 1:1101 BROADWAY AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:YANKTON
Mailing Address - State:SD
Mailing Address - Zip Code:57078-2836
Mailing Address - Country:US
Mailing Address - Phone:605-689-3050
Mailing Address - Fax:
Practice Address - Street 1:1101 BROADWAY AVE STE 104
Practice Address - Street 2:
Practice Address - City:YANKTON
Practice Address - State:SD
Practice Address - Zip Code:57078-2836
Practice Address - Country:US
Practice Address - Phone:605-689-3050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty