Fremont Health and Wellness Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3677 Issued in OH

Legal business name

FREMONT HEALTH AND WELLNESS CENTER

Practice address

2274 W State St
Fremont, OH 43420-1439

Phone

(419) 332-9900

NPI assigned

Sep 2, 2011

Last updated

Sep 2, 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

Dr. Stephen Allen Wise, D.C.NPI 1063585297

Title

President

Phone

(419) 332-9900

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen Allen Wise, D.C.

  • Chiropractor
  • Fremont, OH
  • NPI 1063585297
  NPD (past) Authorized official

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1457632507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2274 W STATE ST",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434201439",
            "telephone_number": "419-332-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2274 W STATE ST",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434201439",
            "telephone_number": "419-332-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREMONT HEALTH AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-02",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-332-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spencer Frederick
• Fremont Anesthesia
• Fremont City City School District
• Fremont Emergency Associates Inc
• Fremont Family Medicine, Inc.
• Fremont Physicians Association
• Fremont Physicians LLC
• Fremont Walkin Medical Center, Inc
• Stanley B Fuller Sr., L.P.N.
• Tasneem Gaballah

• Chiropractor in Fremont, OH
• Providers in Fremont, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.