21St Century Total Wellness, Llc in Demotte - Specialist
21St Century Total Wellness, Llc - NPI 1043412711
21St Century Total Wellness, Llc is a Specialist in Demotte, Indiana. 21St Century Total Wellness, Llc practices all healthcare services and medical treatments related to Specialist. The NPI Number for 21St Century Total Wellness, Llc is 1043412711. The last update date is 2020-08-22.
21St Century Total Wellness, Llc's current location address is 5522 E 989 N, Demotte, Indiana. You can contact this provider via phone number 2193453892. The mailing address for 21St Century Total Wellness, Llc is 5522 E 989 N, Demotte, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 21St Century Total Wellness, Llc |
|---|---|
| Address | 5522 E 989 N, Demotte, Indiana |
| Phone Number | 2193453892 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | RESIDENT A |
|---|---|
| Authorized Official Name | Prater Daniel Edgar |
| Credentials | COTA |
| Telephone Number | 2197564695 |
NPI Number Detail
| NPI Number | 1043412711 |
|---|---|
| Provider Enumeration Date | 2007-06-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5522 E 989 N |
|---|---|
| City | Demotte |
| State | Indiana (IN) |
| Post Code | 463108016 |
| Phone Number | 2193453892 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Post Comment/ Review Below
What is the unique provider identifier assigned to 21St Century Total Wellness, Llc?
The 21St Century Total Wellness, Llc has been issued the NPI (National Provider Identifier) 1043412711 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the 21St Century Total Wellness, Llc's physical address?
The 21St Century Total Wellness, Llc is physically located at 5522 E 989 N, in the city of Demotte, IN, with the postal code 463108016.
What is 21St Century Total Wellness, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for 21St Century Total Wellness, Llc is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1043412711 to 21St Century Total Wellness, Llc?
The Centers for Medicare & Medicaid Services assigned the 1043412711 to 21St Century Total Wellness, Llc on 2007-06-04.
When was the 21St Century Total Wellness, Llc's information last updated?
The 21St Century Total Wellness, Llc's information was last updated on 2020-08-22.