MEDICARE: HEALTH & WELLNESS CHIROPRACTIC, INC

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
1	111N00000X	Chiropractor	007648	IA

General Provider Information

NPI Number	:	1124464029
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH & WELLNESS CHIROPRACTIC, INC

Provider Business Mailing Address
First Line	:	1803 1ST AVE SE
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52402-5434
Country	:	US
Telephone Number	:	319-363-2566
Fax Number	:

Provider Business Practice Location Address
First Line	:	1803 1ST AVE SE
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52402-5434
Country	:	US
Telephone Number	:	319-363-2566
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ABIGAIL LENCH
Credential	:	DC
Telephone Number	:	319-363-2566

Provider Enumeration Date	:	05/17/2013
Last Update Date	:	06/03/2013

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