National Provider Identifier Database

AWAKEN OPTIMAL HEALTH 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

AWAKEN OPTIMAL HEALTH LLC
503 SUNSET DRIVE
DICKSON CITY, PA18447-1323
Phone: 570-489-4444
Fax: 570-489-3333
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for AWAKEN OPTIMAL HEALTH LLC

NPI Number 1598254492
Legal business name
LBN
AWAKEN OPTIMAL HEALTH LLC
Authorized official PAUL SMOLA - (PARTNER)
Entity Organization
Organization subpart No
Enumeration date 05/07/2018
Last updated 05/07/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • PA License #: DC-006471-L
  • PA Other: 5755131 AETNA
  • PA Other: SM833642 MEDICARE

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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