Healthcare Provider Details

I. General information

NPI: 1649931353
Provider Name (Legal Business Name): SIMPLY WELL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2022
Last Update Date: 01/05/2022
Certification Date: 01/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5721 DRAGON WAY
CINCINNATI OH
45227-4518
US

IV. Provider business mailing address

415 W MAIN ST
MILROY IN
46156-9747
US

V. Phone/Fax

Practice location:
  • Phone: 513-271-1233
  • Fax:
Mailing address:
  • Phone: 217-377-1624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. FAITH ELISABETH SWARTZENDRUBER
Title or Position: OWNER/CHIROPRACTOR
Credential: DC
Phone: 217-377-1624