Healthcare Provider Details

I. General information

NPI: 1023682978
Provider Name (Legal Business Name): WORLD OF WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2021
Last Update Date: 05/24/2021
Certification Date: 05/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2419 BALDWICK RD
PITTSBURGH PA
15205-4139
US

IV. Provider business mailing address

PO BOX 16008
PITTSBURGH PA
15242-0008
US

V. Phone/Fax

Practice location:
  • Phone: 412-922-9355
  • Fax:
Mailing address:
  • Phone: 412-929-0249
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. ALLEN J DORLEY III
Title or Position: OWNER
Credential:
Phone: 412-929-0249