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Contact Information

100 WELLNESS, LLC
100 S MADISON ST
SUITE 1A
DENVER, CO80209-3026
 Phone: 303-862-2371
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for 100 WELLNESS, LLC

NPI # 1205372968
LBN Legal business name 100 WELLNESS, LLC
Authorized official ISAAC MOOBERRY - (MEMBER OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/18/2017
Last updated 10/24/2017 - About 9 years ago
Identifiers
CO License # 6030
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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