Provider Demographics
NPI:1447383195
Name:CHIROPRACTIC WELLNESS CENTER
Entity type:Organization
Organization Name:CHIROPRACTIC WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NOBBS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:513-896-9355
Mailing Address - Street 1:1755 S ERIE HWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-4144
Mailing Address - Country:US
Mailing Address - Phone:513-896-9355
Mailing Address - Fax:513-896-3874
Practice Address - Street 1:1755 S ERIE HWY
Practice Address - Street 2:SUITE A
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-4144
Practice Address - Country:US
Practice Address - Phone:513-896-9355
Practice Address - Fax:513-896-3874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2018111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty