CHIROPRACTIC WELLNESS CENTRE PLLC NPI 1720473986

NPI Information

  • NPI: 1720473986
  • Provider Name: CHIROPRACTIC WELLNESS CENTRE, PLLC
  • Classification: Point of Service - 305S00000X
  • Entity Type: Organization
  • Address: 354 STATELINE RD W
    SOUTHAVEN, MS
    ZIP 38671
  • Phone: (662) 470-4615

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NPI Details

CHIROPRACTIC WELLNESS CENTRE, PLLC is a point of service in Southaven, MS. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. CHIROPRACTIC WELLNESS CENTRE, PLLC NPI is 1720473986. The provider is registered as an organization entity type.

The provider's business location address is:

354 STATELINE RD W
SOUTHAVEN, MS
ZIP 38671-610
Phone: (662) 470-4615
Fax: (662) 470-4619

The provider's authorized official is Justin Morris .
The authorized official title is Chiropractic Physician and has the following contact phone number (662) 470-4615.

The enumeration date for this NPI number is 4/3/2015 and was last updated on 5/11/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305S00000XPoint of Service1234MISSISSIPPIYes

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: 11/21/2025

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