Wellness Centre LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WELLNESS CENTRE LLC

Practice address

15945 19 Mile Rd
Clinton TWP, MI 48038-1147

Phone

(248) 514-2614

NPI assigned

Sep 1, 2011

Organization subpart

No

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

Authorized official

Name

Ruben Benito, MD

Title

Member

Phone

(248) 514-2614

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1891076998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15945 19 MILE RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381147",
            "telephone_number": "248-514-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15945 19 MILE RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381147",
            "telephone_number": "248-514-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CENTRE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-01",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "BENITO",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "248-514-2614",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Estelle Welby, LLMSW
• Braydon Mikayl Welch, DPT
• Daniel J Welch, MPT
• Erin Welch, CCC-SLP
• Mary Ellen Welling, APRN, B.C.
• Madison Wendt
• Jacquette Whitaker, LPN
• Chad White, MD
• Cassandra L Whiteaker, MS OTR/L
• Kaitlyn Danielle Whitmore

• Family Medicine Physician in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.