New Life Health & Wellness SW, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08001976A Issued in IN

Legal business name

NEW LIFE HEALTH & WELLNESS SW, LLC

Practice address

10210 Chestnut Plaza Dr
Fort Wayne, IN 46814-8970

Phone

(260) 616-0339

NPI assigned

May 10, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Joel D. Feeman, D.C.

Title

President

Phone

(260) 616-0339

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1134575095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10210 CHESTNUT PLAZA DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468148970",
            "telephone_number": "260-616-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10210 CHESTNUT PLAZA DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468148970",
            "telephone_number": "260-616-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE HEALTH & WELLNESS SW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "FEEMAN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-616-0339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001976A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.