NEW LIFE HEALTH & WELLNESS SW, LLC (NPI# 1134575095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134575095 |
| Entity Type | Organization |
| Organization Name | NEW LIFE HEALTH & WELLNESS SW, LLC |
| Practice Address |
10210 Chestnut Plaza Dr Fort Wayne IN 46814-8970 |
| Practice Telephone | 2606160339 |
| Mailing Telephone | 2606160339 |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-24 |
| Authorized Official Name | DR. JOEL D. FEEMAN (PRESIDENT) |
| Authorized Official Telephone | 2606160339 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 08001976A | IN | Chiropractic Providers |
| Street Address |
10210 CHESTNUT PLAZA DR |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46814-8970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295256907 | Kimberly Ann Bailey | Social Worker | 5310 Merchandise Dr., Fort Wayne, IN 46814 | 2017-07-03 |
| 1821229998 | Back In Action Chiropractic | Chiropractor | 10443 Llinois Road, Fort Wayne, IN 46814 | 2009-08-06 |
| 1376789420 | Richard Frederick Fox | Radiology | 6226 Devils Hollow Rd., Fort Wayne, IN 46814 | 2008-12-19 |
| 1225287998 | George W. Bowers | Urology | 12002 Haddington Court, Fort Wayne, IN 46814 | 2008-09-17 |
| 1588831986 | Xue Zhang | Family Medicine | 10515 Illimois Rd, Fort Wayne, IN 46814 | 2008-05-14 |
| 1245449172 | Charles S Lindzy | Anesthesiology | 14104 Peddlers Ford, Fort Wayne, IN 46814 | 2007-05-21 |
| 1043338999 | Aboite Township Fire Dept In | Ambulance | 11321 Aboite Center Rd, Fort Wayne, IN 46814 | 2007-03-27 |
| 1588748206 | Lisa Renee Vachon | Chiropractor | 971 Chestnut Hills Pkwy, Ft Wayne, IN 46814 | 2006-10-25 |
| 1962586685 | Daniel Vern Velliquette | Chiropractor | 971 Chestnut Hills Parkway, Fort Wayne, IN 46814 | 2006-10-25 |
| 1336255801 | Erica L Walworth | Marriage & Family Therapist | 412 S Scott Rd, Fort Wayne, IN 46814 | 2006-08-21 |
| Find all providers in zip 46814 | ||||
| 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 |
|---|---|---|---|---|
| 1952891236 | Lindsay Mack | Chiropractor | 6121 Stoney Creek Dr, Fort Wayne, IN 46825-4408 | 2018-05-13 |
| 1114438595 | Anne Therese Venderley | Chiropractor | 6388 W Jefferson Blvd Ste B, Fort Wayne, IN 46804-3075 | 2017-10-12 |
| 1720506413 | Crossroads Wellness Center, LLC | Chiropractor | 9206 Lima Rd, Fort Wayne, IN 46818-1806 | 2017-09-01 |
| 1518359371 | Jennifer Michele Williams | Chiropractor | 122 E Collins Rd, Fort Wayne, IN 46825-5302 | 2015-03-03 |
| 1609209691 | Caleb Parker Suciu | Chiropractor | 1114 W. Cook Road, Fort Wayne, IN 46825 | 2013-08-14 |
| 1417297839 | Spine Center of Fort Wayne | Chiropractor | 3417 E State Blvd, Fort Wayne, IN 46805-4830 | 2013-02-21 |
| 1821335936 | Northeast Chiropractic Center, Inc | Chiropractor | 6633 E State Blvd, Ste 200, Fort Wayne, IN 46815-7010 | 2013-01-09 |
| 1558612929 | Chiropractic Care & Wellness Center, LLC | Chiropractor | 6388 W Jefferson Blvd, Suite B, Fort Wayne, IN 46804-3075 | 2012-09-26 |
| 1831475755 | Thomas Chiropractic | Chiropractor | 3162 Mallard Cove Ln, Fort Wayne, IN 46804-2882 | 2011-10-24 |
| 1215216072 | Sean F.c. Thomas | Chiropractor | 3158 Mallard Cove Ln, Fort Wayne, IN 46804-2882 | 2011-08-11 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46814 |
Please comment or provide details below to improve the information on NEW LIFE HEALTH & WELLNESS SW, 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.