Healthcare Provider Details

I. General information

NPI: 1982936985
Provider Name (Legal Business Name): WELLNESS SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2010
Last Update Date: 09/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 HOSPITAL CENTER CMNS STE 200A
HILTON HEAD ISLAND SC
29926-2840
US

IV. Provider business mailing address

200 CENTRAL AVE SUITE B
HILTON HEAD ISLAND SC
29926-1635
US

V. Phone/Fax

Practice location:
  • Phone: 843-686-9355
  • Fax: 843-686-9354
Mailing address:
  • Phone: 843-686-9355
  • Fax: 843-686-9354

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2837
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2565
License Number StateSC
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2003
License Number StateSC

VIII. Authorized Official

Name: DAVID WASHACK
Title or Position: OWNER
Credential: D.C.
Phone: 843-686-9355