Provider Demographics
NPI:1154529857
Name:PAUN FAMILY CHIROPRACTIC AND WELLNESS, PC
Entity type:Organization
Organization Name:PAUN FAMILY CHIROPRACTIC AND WELLNESS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT - VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:J
Authorized Official - Last Name:PAUN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, DC
Authorized Official - Phone:219-227-4033
Mailing Address - Street 1:2022 45TH ST
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:IN
Mailing Address - Zip Code:46322-2388
Mailing Address - Country:US
Mailing Address - Phone:219-227-4033
Mailing Address - Fax:708-931-0119
Practice Address - Street 1:2022 45TH ST
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:IN
Practice Address - Zip Code:46322-2388
Practice Address - Country:US
Practice Address - Phone:219-227-4033
Practice Address - Fax:708-931-0119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-05
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002319A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty