NPIMap

Organization Active NPI

Life Quest Wellness Center

  • Neurology Chiropractor
  • Cortland, OH
National Provider Identifier
1902000433
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
3112 Issued in OH
Legal business name
LIFE QUEST WELLNESS CENTER
Practice address
1980 Niles Cortland Rd NE
Cortland, OH 44410-9405
Phone
(330) 609-0355
Fax
(330) 609-0335
NPI assigned
Jun 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Authorized official

Name
Andre J Camelli, D.C.
Title
Owner Chiropractor
Phone
(330) 609-0355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN0400X 3112 OH Primary

Addresses

Primary practice location

1980 Niles Cortland Rd NE
Cortland, OH 44410-9405

Mailing address

1980 Niles Cortland Rd NE
Cortland, OH 44410-9405
Phone (330) 609-0355

National Provider Directory

National Provider Directory

Locations

1980 Niles Cortland Rd NE
Cortland, OH 44410
Phone (330) 609-0355

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": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1902000433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 NILES CORTLAND RD NE",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444109405",
            "telephone_number": "330-609-0355",
            "fax_number": "330-609-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 NILES CORTLAND RD NE",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444109405",
            "telephone_number": "330-609-0355",
            "fax_number": "330-609-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE QUEST WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "CAMELLI",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER CHIROPRACTOR",
        "authorized_official_telephone_number": "330-609-0355",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "OH",
            "license": "3112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.