Provider Demographics
NPI:1952336240
Name:WELLING, ANDREW (DC)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:WELLING
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12189 W 64TH AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80004-4031
Mailing Address - Country:US
Mailing Address - Phone:303-424-9549
Mailing Address - Fax:303-425-6069
Practice Address - Street 1:12189 W 64TH AVE STE 102
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80004-4031
Practice Address - Country:US
Practice Address - Phone:303-424-9549
Practice Address - Fax:303-424-7389
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5886111N00000X
IDCHIA-1174111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor