Provider Demographics
NPI:1932398484
Name:HEALTH 1ST WELLNESS CENTER, PC.
Entity Type:Organization
Organization Name:HEALTH 1ST WELLNESS CENTER, PC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:PFLAUM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:586-268-6868
Mailing Address - Street 1:14445 15 MILE RD
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48312-5512
Mailing Address - Country:US
Mailing Address - Phone:586-268-6868
Mailing Address - Fax:586-268-3540
Practice Address - Street 1:14445 15 MILE RD
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48312-5512
Practice Address - Country:US
Practice Address - Phone:586-268-6868
Practice Address - Fax:586-268-3540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-22
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008286111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0P08570Medicare PIN
MIU84526Medicare UPIN