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WELLNESSONE OF OFALLON LLC NPI 1184745325


NPI Information

NPI: 1184745325
Provider Name: WELLNESSONE OF OFALLON, LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
310 E US HIGHWAY 50
SUITE 2
O FALLON, IL
ZIP 62269
Phone: (618) 398-9716
Get Directions

WELLNESSONE OF OFALLON, LLC is a chiropractor in O Fallon, IL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. WELLNESSONE OF OFALLON, LLC NPI is 1184745325. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

310 E US HIGHWAY 50
SUITE 2
O FALLON, IL
ZIP 62269-700
Phone: (618) 398-9716

The provider's authorized official is Scott M Dorrity .
The authorized official title is Managing Employee and has the following contact phone number (618) 398-9716.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorILLINOISYes
2111N00000XChiropractorILLINOISX
3225100000XPhysical TherapistILLINOISX
4225100000XPhysical TherapistILLINOISX
5225100000XPhysical TherapistILLINOISX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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