Provider Demographics
NPI:1831580471
Name:WELLNESS ON WHEELS, PC
Entity type:Organization
Organization Name:WELLNESS ON WHEELS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:A
Authorized Official - Last Name:OUELLETTE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:508-954-4985
Mailing Address - Street 1:55 N WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NORTH ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02760-1607
Mailing Address - Country:US
Mailing Address - Phone:508-316-4141
Mailing Address - Fax:508-418-7444
Practice Address - Street 1:55 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NORTH ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02760-1607
Practice Address - Country:US
Practice Address - Phone:508-316-4141
Practice Address - Fax:508-418-7444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-17
Last Update Date:2015-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA666111N00000X, 111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0100XChiropractic ProvidersChiropractorOccupational HealthGroup - Single Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty