Provider Demographics
NPI:1033357207
Name:HEALTH FROM WITHIN CHIROPRACTIC WELLNESS CENTER OF MOLINE, SC
Entity type:Organization
Organization Name:HEALTH FROM WITHIN CHIROPRACTIC WELLNESS CENTER OF MOLINE, SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHLY
Authorized Official - Middle Name:L
Authorized Official - Last Name:OCHSNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:708-349-0040
Mailing Address - Street 1:9654 W 131ST ST
Mailing Address - Street 2:#311
Mailing Address - City:PALOS PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60464-1640
Mailing Address - Country:US
Mailing Address - Phone:708-349-0040
Mailing Address - Fax:708-349-0060
Practice Address - Street 1:1909 52ND AVE
Practice Address - Street 2:
Practice Address - City:MOLINE
Practice Address - State:IL
Practice Address - Zip Code:61265-6381
Practice Address - Country:US
Practice Address - Phone:708-349-0040
Practice Address - Fax:708-349-0060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-27
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty