Healthcare Provider Details

I. General information

NPI: 1013823095
Provider Name (Legal Business Name): LIVEWELL CHIROPRACTIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2577 HARTFORD AVE
WHITE RIVER JUNCTION VT
05088
US

IV. Provider business mailing address

PO BOX 181
WILDER VT
05088-0181
US

V. Phone/Fax

Practice location:
  • Phone: 802-295-9360
  • Fax: 802-295-9361
Mailing address:
  • Phone: 802-295-9360
  • Fax: 802-295-9361

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES E BROMWELL III
Title or Position: OWNER
Credential: DC
Phone: 802-295-9360