WAGGENER CHIROPRACTIC AND WELLNESS CENTER LLC - NPI 1114414620

Q: What is the provider's specialty?

The provider's specialty is Chiropractor with taxonomy code 111N00000X.

About Waggener Chiropractic And Wellness Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAGGENER CHIROPRACTIC AND WELLNESS CENTER LLC (NPI 1114414620) is a chiropractor in Springfield, Illinois and active in the NPI registry since April 2018. The organization lists Samantha Ariel Mayberry, Owner/chiropractor, as its authorized official.Information from the official NPPES registry record, last updated May 17, 2018.

NPPES Registry Identity

NPI1114414620

Entity TypeOrganization

Legal Business NameWAGGENER CHIROPRACTIC AND WELLNESS CENTER LLC

Location Address7012 KINGSMILL CTSpringfield, IL 62711

Mailing Address7012 Kingsmill CtSpringfield, IL 62711-7387 · (121) 767-9363

Phone(217) 679-3637

Organization SubpartNo

Authorized OfficialSamantha Ariel MayberryOwner/chiropractor · (217) 679-3637

Enumeration DateApril 19, 2018

Last NPPES UpdateMay 17, 2018

✔ NPI 1114414620 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

★ Primary Specialty

Chiropractor

Taxonomy 111N00000X · Chiropractic Providers

✔ Licensed in IL · 038012923

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… Show more

7012 KINGSMILL CT, Springfield, IL 62711

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Also on File with NPPES

Group Practice1

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization. (193400000X SINGLE SPECIALTY GROUP)

Last updated in NPPES on May 17, 2018 · 2 updates tracked since enumeration.