FERNANDEZ-WILLS LLC (NPI# 1083169577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083169577 |
Entity Type | Organization |
Organization Name | FERNANDEZ-WILLS LLC |
Other Organization Name | FULL LIFE CHIROPRACTIC |
Practice Address |
1741 W Main St Troy OH 45373-2301 |
Practice Telephone | 9375527364 |
Mailing Telephone | 9375527364 |
Enumeration Date | 2016-08-24 |
Last Update Date | 2016-10-05 |
Authorized Official Name | DR. JUAN FERNANDEZ-GOMEZ (OWNER) |
Authorized Official Telephone | 5702396961 |
Authorized Official Credential | D.C. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 4584 | OH | Chiropractic Providers |
Other Name | Type Code |
---|---|
Full Life Chiropractic | Doing Business As Name - Organization |
Street Address |
1741 W MAIN ST |
City | TROY |
State | OH |
Zip Code | 45373-2301 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366997850 | Juan Fernandez-gomez | Chiropractor | 1741 W Main St, Troy, OH 45373-2301 | 2016-08-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285248336 | Julie M Anderson | Home Health Aide | 74 Tamworth Road, Troy, OH 45373 | 2020-09-05 |
1376007682 | Community Housing of Darke, Miami & Shelby Counties, Inc | Peer Specialist | 1100 Wayne Ave Suite 4001, Troy, OH 45373 | 2019-01-31 |
1861982423 | Omni Wellness Group LLC | Family Medicine | 1149 Experiment Farm Road, Troy, OH 45373 | 2018-05-18 |
1336638758 | Kristin Dolph | Counselor | 305 Public Sq, Troy, OH 45373 | 2018-05-02 |
1912425448 | Wanda Denise Hudson | Counselor | 550 Sumitt Ave, Troy, OH 45373 | 2017-09-05 |
1538685383 | Cassandra Ann Zerkle | Occupational Therapist | 2000 W. Stainfield Rd., Troy, OH 45373 | 2017-08-14 |
1891215224 | Michele Josefovsky | Nurse Practitioner | 31 S Stanfield Rd Ste 301, Troy, OH 45373 | 2017-06-27 |
1295271104 | Alison Moyer | Specialist/Technologist | 1852 Towne Park Dr Apt 6b, Troy, OH 45373 | 2017-01-17 |
1982151148 | Amanda Falldorf | Nurse Practitioner | 1843 W Main St, Troy, OH 45373 | 2016-09-06 |
1588093314 | Quad Med LLC | Clinic/Center | 1447 E. Main Street, Troy, OH 45373 | 2013-11-02 |
Find all providers in zip 45373 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | 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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740813567 | Katie Grech D.c., P.C. | Chiropractor | 1147 E Long Lake Rd Ste 3, Troy, MI 48085-4943 | 2020-02-20 |
1457915563 | Wesley Paten | Chiropractor | 1175 W Long Lake Rd Ste 100, Troy, MI 48098-4455 | 2019-04-24 |
1104382837 | Minxes Inc | Chiropractor | 1175 W. Long Lake Rd, Suite 100, Troy, MI 48098 | 2019-02-19 |
1811403249 | Garrett B Buell | Chiropractor | 1930 Prime Ct Ste 105, Troy, OH 45373-9045 | 2017-12-21 |
1851806582 | Authentic Living Center, Inc. | Chiropractor | 2525 Crooks Rd Ste 101, Troy, MI 48084-4733 | 2017-12-04 |
1588105803 | Carolynn M Maselli | Chiropractor | 1 Conway Court, Troy, NY 12180-6669 | 2017-03-20 |
1104368596 | Brittany Maclennan | Chiropractor | 4276 Clarke Dr, Troy, MI 48085-4905 | 2016-11-16 |
1982055786 | Deandra Stewart | Chiropractor | 1340 Us-231 #3, Troy, AL 36081 | 2016-06-23 |
1306202817 | Jeffrey Studabaker | Chiropractor | 927 N Market St, Troy, OH 45373-1431 | 2016-01-13 |
1336528405 | Minxes Incorporated | Chiropractor | 1175 W Long Lake Rd, 100, Troy, MI 48098-4438 | 2015-05-22 |
Find all providers in TROY |
Please comment or provide details below to improve the information on FERNANDEZ-WILLS LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.