Organization Name: | WELLS CHIROPRACTIC CLINIC INC |
NPI Number: | 1063696540 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHAD A MALWITZ (OWNER) |
Mailing Address: | 46 S Broadway Wells |
State: | MN US |
Postal Code: | 560971633 |
Phone Number: | 5075535666 |
Fax Number: | 5075535669 |
NPI Enumeration Date: | 12/20/2007 |
NPI Last Update Date: | 02/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 3445 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |