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Contact Information

WAGGENER CHIROPRACTIC AND WELLNESS CENTER LLC
7012 KINGSMILL CT
SPRINGFIELD, IL62711
 Phone: 217-679-3637
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for WAGGENER CHIROPRACTIC AND WELLNESS CENTER LLC

NPI Number 1114414620
LBN Legal business name WAGGENER CHIROPRACTIC AND WELLNESS CENTER LLC
Authorized official SAMANTHA MAYBERRY - (OWNER/CHIROPRACTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/19/2018
Last updated 05/17/2018 - About 8 years ago
Identifiers
IL License # 038012923
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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