Advanced Wellness Center of Bethlehem

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

Legal business name

ADVANCED WELLNESS CENTER OF BETHLEHEM

Practice address

147 E Broad St
Bethlehem, PA 18018-6219

Phone

(610) 419-0196

NPI assigned

May 20, 2011

Last updated

Dec 15, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edna L Feliciano-Flatts

Title

Owner

Phone

(610) 419-0196

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1305849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1033402227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 E BROAD ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186219",
            "telephone_number": "610-419-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 E BROAD ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186219",
            "telephone_number": "610-419-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED WELLNESS CENTER OF BETHLEHEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-20",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "FELICIANO-FLATTS",
        "authorized_official_first_name": "EDNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-419-0196"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.