Healthcare Provider Details

I. General information

NPI: 1053680355
Provider Name (Legal Business Name): UNITED WELLNESS CENTERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2011
Last Update Date: 10/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2329 STONEBRIDGE DR BLDG E
FLINT MI
48532-5407
US

IV. Provider business mailing address

750 S OLD WOODWARD AVE
BIRMINGHAM MI
48009-6600
US

V. Phone/Fax

Practice location:
  • Phone: 810-471-4280
  • Fax: 810-355-2277
Mailing address:
  • Phone: 248-792-6570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateMI

VIII. Authorized Official

Name: SILVIO COZZETTO
Title or Position: PRESIDENT
Credential: D.C.
Phone: 248-792-6570