Healthcare Provider Details

I. General information

NPI: 1205016904
Provider Name (Legal Business Name): CHIROPRACTIC HEALTH AND WELLNESS CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2007
Last Update Date: 04/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1209 COLUMBUS AVE
WASHINGTON COURT HOUSE OH
43160-1654
US

IV. Provider business mailing address

1209 COLUMBUS AVE
WASHINGTON COURT HOUSE OH
43160-1654
US

V. Phone/Fax

Practice location:
  • Phone: 740-335-0914
  • Fax: 740-335-4050
Mailing address:
  • Phone: 740-335-0914
  • Fax: 740-335-4050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number1399
License Number StateOH

VIII. Authorized Official

Name: DR. GREGORY A. FLERCHINGER
Title or Position: DIRECTOR
Credential: D.C.
Phone: 740-335-0914