Provider Demographics
NPI:1932598166
Name:ARCH HEALTH AND WELLNESS LLC
Entity Type:Organization
Organization Name:ARCH HEALTH AND WELLNESS LLC
Other - Org Name:SANPETE FAMILY WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:ARCH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:314-296-0157
Mailing Address - Street 1:PO BOX 116
Mailing Address - Street 2:34 EAST 100 NORTH
Mailing Address - City:GUNNISON
Mailing Address - State:UT
Mailing Address - Zip Code:84634
Mailing Address - Country:US
Mailing Address - Phone:435-528-3685
Mailing Address - Fax:866-972-0346
Practice Address - Street 1:34 EAST 100 NORTH
Practice Address - Street 2:
Practice Address - City:GUNNISON
Practice Address - State:UT
Practice Address - Zip Code:84634
Practice Address - Country:US
Practice Address - Phone:435-528-3685
Practice Address - Fax:866-972-0346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-12
Last Update Date:2015-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4783663-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty