Healthcare Provider Details

I. General information

NPI: 1376461509
Provider Name (Legal Business Name): WELL BEING CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 FOX RUN DR
GALAX VA
24333-3341
US

IV. Provider business mailing address

308 FOX RUN DR
GALAX VA
24333-3341
US

V. Phone/Fax

Practice location:
  • Phone: 603-727-8755
  • Fax:
Mailing address:
  • Phone: 603-727-8755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. OSEI ASIBEY BONSU
Title or Position: PHYSICIAN
Credential:
Phone: 603-727-8755