Healthcare Provider Details
I. General information
NPI: 1356690119
Provider Name (Legal Business Name): STERLING HEALTH & WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/07/2012
Last Update Date: 09/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
44 N LONDON ST
MT STERLING OH
43143-1127
US
IV. Provider business mailing address
44 N LONDON ST
MT STERLING OH
43143-1127
US
V. Phone/Fax
- Phone: 740-869-2800
- Fax: 740-869-2323
- Phone: 740-869-2800
- Fax: 740-869-2323
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DONALD
RAY
MAPLE
JR.
Title or Position: PRESIDENT/OWNER
Credential: DC
Phone: 740-869-2800