MICHIANA WELLNESS AND LONGEVITY CLINIC, INC.
NPI 1306954466
Chiropractor - Internist in Mishawaka, IN

Active since August 29, 2006
605 W EDISON RD, SUITE G, MISHAWAKA, IN 46545(574) 258-4444(574) 258-4445 Get Directions Write a Review

NPPES record last updated: March 30, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2016, Mar 22, 2016 (2 updates tracked since 2016).

About Michiana Wellness And Longevity Clinic, Inc. NPPES

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

MICHIANA WELLNESS AND LONGEVITY CLINIC, INC. (NPI 1306954466) is a healthcare organization registered as an internist in Mishawaka, Indiana and active in the NPI registry since August 2006. The organization lists William James Lyden, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1306954466
Entity TypeOrganization
Primary Taxonomy111NI0900X
Legal Business NameMICHIANA WELLNESS AND LONGEVITY CLINIC, INC.
Location Address605 W EDISON RD, SUITE GMishawaka, IN 46545-8823
Mailing Address605 W Edison Rd, Suite GMishawaka, IN 46545-8823 · (574) 258-4444 · Fax (574) 258-4445
Fax(574) 258-4445
Organization SubpartNo
Authorized OfficialWilliam James LydenPresident & Ceo · (574) 258-4444
Enumeration DateAugust 29, 2006
Last NPPES UpdateMarch 30, 20162 updates tracked since enumeration
NPI 1306954466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractor · InternistChiropractic Providers
Taxonomy Code111NI0900X
License Licensed in IN · 08002006A
Definition
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.
605 W EDISON RD, Mishawaka, IN 46545

Group Practice 1

Group TaxonomyThis 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

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
605 W EDISON RD, SUITE C
MISHAWAKA, IN 46545
Home Health
605 W EDISON RD, SUITE H
MISHAWAKA, IN 46545
Chiropractor
605 W EDISON RD, SUITE G
MISHAWAKA, IN 46545
Home Health
605 W EDISON RD, SUITE H
MISHAWAKA, IN 46545

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michiana Wellness And Longevity Clinic, Inc.'s NPI number?

The NPI number for Michiana Wellness And Longevity Clinic, Inc. is 1306954466. It was assigned to this organization in the NPPES registry on August 29, 2006.

Where is Michiana Wellness And Longevity Clinic, Inc. located?

Michiana Wellness And Longevity Clinic, Inc. is located at 605 W Edison Rd Suite G, Mishawaka, IN 46545. The listed phone number is (574) 258-4444.

What is Michiana Wellness And Longevity Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Internist, with taxonomy code 111NI0900X.

When was this NPI record last updated?

The NPPES record for Michiana Wellness And Longevity Clinic, Inc. was last updated on March 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.