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NPI Code Detail

MEDICARE: WHOLE HEALTH WELLNESS INSTITUTE, PLLC

MEDICARE: WHOLE HEALTH WELLNESS INSTITUTE, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171400000XHealth & Wellness Coach
2207X00000XOrthopaedic Surgery Physician
32083P0901XPublic Health & General Preventive Medicine Physician

General Provider Information

NPI Number : 1063116119
Entity Type Code : Organization
Provider Name (Legal Business Name) : WHOLE HEALTH WELLNESS INSTITUTE, PLLC
Provider Business Mailing Address
First Line : 321 ARCH STREET
Second Line : STE 101
City : MEADVILLE
State : PA
Zip : 16335-3214
Country : US
Telephone Number : 814-333-7109
Fax Number : 814-333-7108
Provider Business Practice Location Address
First Line : 321 ARCH STREET
Second Line : STE 101
City : MEADVILLE
State : PA
Zip : 16335-3214
Country : US
Telephone Number : 814-333-7109
Fax Number : 814-333-7108
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MR. SEAN P. MCKINNON
Credential : CPA
Telephone Number : 814-333-7109
Provider Enumeration Date : 03/30/2023
Last Update Date : 12/07/2023

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Directions to “WHOLE HEALTH WELLNESS INSTITUTE, PLLC ” Practice Location

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