MEDICARE: WELLNESS WITHIN CHIROPRACTIC LLC

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

General Provider Information

NPI Number	:	1154020196
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELLNESS WITHIN CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	2658 N COLUMBUS ST STE G
Second Line	:
City	:	LANCASTER
State	:	OH
Zip	:	43130-8796
Country	:	US
Telephone Number	:	740-918-9994
Fax Number	:

Provider Business Practice Location Address
First Line	:	2658 N COLUMBUS ST STE G
Second Line	:
City	:	LANCASTER
State	:	OH
Zip	:	43130-8796
Country	:	US
Telephone Number	:	740-918-9994
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. EMILY MILLER
Credential	:	DC
Telephone Number	:	740-438-8056

Provider Enumeration Date	:	02/28/2023
Last Update Date	:	02/28/2023

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