MEDICARE: CHIROPRACTIC WELLNESS CENTER 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

General Provider Information

NPI Number	:	1477910354
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHIROPRACTIC WELLNESS CENTER INC

Provider Business Mailing Address
First Line	:	114 MERRIAM AVE STE 202
Second Line	:
City	:	LEOMINSTER
State	:	MA
Zip	:	01453-3175
Country	:	US
Telephone Number	:	978-345-1224
Fax Number	:	978-345-1418

Provider Business Practice Location Address
First Line	:	114 MERRIAM AVE STE 114
Second Line	:
City	:	LEOMINSTER
State	:	MA
Zip	:	01453-3175
Country	:	US
Telephone Number	:	978-345-1224
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JAMES CORMIER
Credential	:	DC
Telephone Number	:	978-345-1224

Provider Enumeration Date	:	01/22/2016
Last Update Date	:	07/01/2024

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