Healthcare Provider Details

I. General information

NPI: 1740469709
Provider Name (Legal Business Name): PARAGON WELLNESS CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2007
Last Update Date: 09/02/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1332 W ARCH HAVEN AVE SUITE C
BLOOMINGTON IN
47403-2079
US

IV. Provider business mailing address

1332 W ARCH HAVEN AVE SUITE C
BLOOMINGTON IN
47403-2079
US

V. Phone/Fax

Practice location:
  • Phone: 812-272-3700
  • Fax:
Mailing address:
  • Phone: 812-272-3700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MEGAN DENISE FRANKLIN
Title or Position: OFFICE MANAGER
Credential:
Phone: 812-333-7447