Phoenix Wellness Centers, Inc

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

2301007576 Issued in MI

Legal business name

PHOENIX WELLNESS CENTERS, INC

Practice address

1203 E Eighth St
Traverse City, MI 49686-2938

Phone

(231) 938-8000

Fax

(231) 938-0547

NPI assigned

Nov 14, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Charles Howard Lange, D.C

Title

President

Phone

(231) 938-8000

Specialties & licenses 1

Addresses

Other names 1

• Phoenix Wellness Center Former legal business name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308528000000",
    "number": "1023298403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 E EIGHTH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862938",
            "telephone_number": "231-938-8000",
            "fax_number": "231-938-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 E EIGHTH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862938",
            "telephone_number": "231-938-8000",
            "fax_number": "231-938-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX WELLNESS CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2011-06-20",
        "status": "A",
        "authorized_official_last_name": "LANGE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-938-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "MI",
            "license": "2301007576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix Wellness Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kathleen M Phelps, M.D.
• John Gregory Phillippo, RPT
• Aaron Phillips, RN
• Audrey Phillips
• Phoenix Home Care Inc
• Physician'S Weight Management Center
• Piche Family Chiropractic
• Piche Family Chiropractic P.L.L.C.
• Donald Francis Piche, D.C.
• Joseph Patrick Piche, D,C,

• Nutrition Chiropractor in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Nutrition Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.