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NPI Code Detail

MEDICARE: ADVANCED WELLNESS CENTER INC

MEDICARE: ADVANCED 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
1111N00000XChiropractor3428OH
2111N00000XChiropractor3427OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000321967OTHEROHBCBS

General Provider Information

NPI Number : 1487691309
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED WELLNESS CENTER INC
Provider Business Mailing Address
First Line : 1351 KING AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43212-2220
Country : US
Telephone Number : 614-488-6820
Fax Number : 614-488-6830
Provider Business Practice Location Address
First Line : 1351 KING AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43212-2220
Country : US
Telephone Number : 614-488-6820
Fax Number : 614-488-6830
Authorized Official
Title or Position : PRESIDENT
Name : DR. BRADLEY TROY WALKER
Credential : DC
Telephone Number : 614-488-6820
Provider Enumeration Date : 05/31/2006
Last Update Date : 09/29/2021

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Directions to “ADVANCED WELLNESS CENTER INC ” Practice Location

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