Triune Wellness Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3354 Issued in OH

Legal business name

TRIUNE WELLNESS CORPORATION

Doing business as

Impact Health and Spine Centers

Practice address

956 Old State Route 74
Suite 3
Batavia, OH 45103-2360

Phone

(513) 943-1139

Fax

(513) 943-9131

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Thomas J. Lonergan, D.C.

Title

Clinic Director

Phone

(513) 943-1139

Specialties & licenses 1

Addresses

Other names 1

• Impact Health and Spine Centers Doing business as

Locations

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1902972367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "956 OLD STATE ROUTE 74",
            "address_2": "SUITE 3",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451032360",
            "telephone_number": "513-943-1139",
            "fax_number": "513-943-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "956 OLD STATE ROUTE 74",
            "address_2": "SUITE 3",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451032360",
            "telephone_number": "513-943-1139",
            "fax_number": "513-943-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIUNE WELLNESS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "LONERGAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "513-943-1139",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Impact Health and Spine Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.