Organization Active NPI

Wellnessfirstchiropractic Inc.

  • Chiropractor
  • Sullivan, IN
National Provider Identifier
1518002476
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WELLNESSFIRSTCHIROPRACTIC INC.
Practice address
222 W Beech St
Sullivan, IN 47882-1462
Phone
(812) 268-3400
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2015

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

Authorized official

Name
Michelle Clothier
Title
Executive Director
Phone
(812) 268-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

222 W Beech St
Sullivan, IN 47882-1462

Mailing address

222 W Beech St
Sullivan, IN 47882-1462
Phone (812) 268-3400

Other identifiers 1

IdentifierTypeStateIssuer
200852610AMedicaidIN

National Provider Directory

National Provider Directory

Locations

210 N Section St
#C
Sullivan, IN 47882
Phone (812) 268-3400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1518002476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W BEECH ST",
            "city": "SULLIVAN",
            "state": "IN",
            "postal_code": "478821462",
            "telephone_number": "812-268-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W BEECH ST",
            "city": "SULLIVAN",
            "state": "IN",
            "postal_code": "478821462",
            "telephone_number": "812-268-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESSFIRSTCHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "CLOTHIER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "812-268-3400"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200852610A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sullivan, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.