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WELLNESS WAY ROCKFORD LLC NPI 1104359066


NPI Information

NPI: 1104359066
Provider Name: WELLNESS WAY ROCKFORD LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
329 AMPHITHEATER DR
ROCKFORD, IL
ZIP 61107
Phone: (217) 274-9029
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WELLNESS WAY ROCKFORD LLC is a chiropractor in Rockford, IL. The provider is 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. WELLNESS WAY ROCKFORD LLC NPI is 1104359066. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

329 AMPHITHEATER DR
ROCKFORD, IL
ZIP 61107-662
Phone: (217) 274-9029

The provider's authorized official is Patrick Flynn .
The authorized official title is Owner and has the following contact phone number (920) 660-7877.

The enumeration date for this NPI number is 4/7/2017 and was last updated on 7/6/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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