Provider Demographics
NPI:1285810226
Name:WORLD-WIDE WELLNESS CHIROPRACTIC LLC
Entity type:Organization
Organization Name:WORLD-WIDE WELLNESS CHIROPRACTIC LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:PAOUNCIC
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-459-5333
Mailing Address - Street 1:PO BOX 222
Mailing Address - Street 2:
Mailing Address - City:BLAIRSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15717-0222
Mailing Address - Country:US
Mailing Address - Phone:724-459-5333
Mailing Address - Fax:
Practice Address - Street 1:135 W MARKET ST
Practice Address - Street 2:
Practice Address - City:BLAIRSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15717-1301
Practice Address - Country:US
Practice Address - Phone:724-453-5333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-19
Last Update Date:2008-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009051111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty