National Provider Identifier Database

ADVANCED WELLNESS CHIROPRACTIC PLLC
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

ADVANCED WELLNESS CHIROPRACTIC, PLLC
135 MAIN CROSS STREET
HAWESVILLE, KY42348
Phone: 270-927-1000
Fax:
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for ADVANCED WELLNESS CHIROPRACTIC, PLLC

NPI Number 1912178260
Legal business name
LBN
ADVANCED WELLNESS CHIROPRACTIC, PLLC
Authorized official NICHOLAS BROCKMAN - (OWNER/DOCTOR)
Entity Organization
Organization subpart No
Enumeration date 03/14/2008
Last updated 06/20/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • KY License #: 5101

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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