Organization Active NPI

Natural Wellness LLC

  • Chiropractor
  • Highland, IN
National Provider Identifier
1720476419
Registry record updated Jan 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002683A Issued in IN
Legal business name
NATURAL WELLNESS LLC
Practice address
2635 45TH St
Highland, IN 46322-2902
Phone
(219) 595-3393
Fax
(219) 595-3396
NPI assigned
Jan 2, 2015
Last updated
Jan 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2015

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

Authorized official

Name
Mrs. Barbara Rackouski
Title
Principle/Registered Agent
Phone
(708) 822-8039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002683A IN Primary

Addresses

Primary practice location

2635 45TH St
Highland, IN 46322-2902

Mailing address

2635 45TH St
Highland, IN 46322-2902
Phone (219) 595-3393

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1420156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420156800000",
    "number": "1720476419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2635 45TH ST",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222902",
            "telephone_number": "219-595-3393",
            "fax_number": "219-595-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 45TH ST",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222902",
            "telephone_number": "219-595-3393",
            "fax_number": "219-595-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-02",
        "last_updated": "2015-01-02",
        "status": "A",
        "authorized_official_last_name": "RACKOUSKI",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "PRINCIPLE/REGISTERED AGENT",
        "authorized_official_telephone_number": "708-822-8039",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002683A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IN

Sources for this page

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