National Provider Identifier Database

MICHIANA WELLNESS AND LONGEVITY CLINIC INC
Internist

The chiropractic internist may serve as a primary care physician or may see patients referred from other providers for evaluation and co-management. Evaluation is focused on the early detection of functional, nutritional, and pathological disorders. A chiropractic internist utilizes the diagnostic instruments necessary for proper examination. In cases where laboratory examination is necessary, a chiropractic internist utilizes a recognized reference laboratory facility. A chiropractic internist may manage his or her own cases or may refer to another specialist when prudent to do so. The chiropractic internist utilizes documented natural therapies, therapeutic lifestyle changes, patient education and other resources to promote patient health and avoidance of disease.


Contact Information

MICHIANA WELLNESS AND LONGEVITY CLINIC, INC.
605 W EDISON RD
SUITE G
MISHAWAKA, IN46545-8823
Phone: 574-258-4444
Fax: 574-258-4445
Website:
Specialty Taxonomy Code
* Internist 111NI0900X

* Indicates primary specialty

NPI Profile & details for MICHIANA WELLNESS AND LONGEVITY CLINIC, INC.

NPI Number 1306954466
Legal business name
LBN
MICHIANA WELLNESS AND LONGEVITY CLINIC, INC.
Authorized official WILLIAM LYDEN - (PRESIDENT & CEO)
Entity Organization
Organization subpart No
Enumeration date 08/29/2006
Last updated 03/30/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • IN License #: 08002006A

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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