National Provider Identifier Database

WAGGENER CHIROPRACTIC AND WELLNESS CENTER LLC
Chiropractor

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.


Contact Information

WAGGENER CHIROPRACTIC AND WELLNESS CENTER LLC
7012 KINGSMILL CT
SPRINGFIELD, IL62711
Phone: 217-679-3637
Fax:
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for WAGGENER CHIROPRACTIC AND WELLNESS CENTER LLC

NPI Number 1114414620
Legal business name
LBN
WAGGENER CHIROPRACTIC AND WELLNESS CENTER LLC
Authorized official SAMANTHA MAYBERRY - (OWNER/CHIROPRACTOR)
Entity Organization
Organization subpart No
Enumeration date 04/19/2018
Last updated 05/17/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 038012923

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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