Provider Demographics
NPI:1114731726
Name:SIMPLY WELL FAMILY CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:SIMPLY WELL FAMILY CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:LATHROP
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:419-262-1700
Mailing Address - Street 1:6049 RENAISSANCE PL STE J
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-4730
Mailing Address - Country:US
Mailing Address - Phone:419-265-8097
Mailing Address - Fax:
Practice Address - Street 1:6049 RENAISSANCE PL STE J
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-4730
Practice Address - Country:US
Practice Address - Phone:419-265-8097
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty