MEDICARE: THE WELLNES STUDIO

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	AJ010596	PA
2	111N00000X	Chiropractor	DC007436L	PA

General Provider Information

NPI Number	:	1679997860
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE WELLNES STUDIO

Provider Business Mailing Address
First Line	:	1837 NORRISTOWN RD
Second Line	:
City	:	AMBLER
State	:	PA
Zip	:	19002-2837
Country	:	US
Telephone Number	:	215-542-2273
Fax Number	:	215-542-2277

Provider Business Practice Location Address
First Line	:	1837 NORRISTOWN RD
Second Line	:
City	:	AMBLER
State	:	PA
Zip	:	19002-2837
Country	:	US
Telephone Number	:	215-542-2273
Fax Number	:	215-542-2277

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SCOTT SOLOMON
Credential	:	B.S., A.A., D.C.
Telephone Number	:	267-808-7900

Provider Enumeration Date	:	02/10/2014
Last Update Date	:	02/10/2014

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Directions to “THE WELLNES STUDIO ” Practice Location

Language	Start Address	Practice Location

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