Provider Demographics
NPI:1396079117
Name:JANVIER WELLNESS CHIROPRACTIC CARE
Entity type:Organization
Organization Name:JANVIER WELLNESS CHIROPRACTIC CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:LODIE
Authorized Official - Last Name:JANVIER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:718-231-6494
Mailing Address - Street 1:4160 WILDER AVE
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10466-2132
Mailing Address - Country:US
Mailing Address - Phone:718-231-6494
Mailing Address - Fax:718-231-6496
Practice Address - Street 1:4160 WILDER AVE
Practice Address - Street 2:1ST FLOOR
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466-2132
Practice Address - Country:US
Practice Address - Phone:718-231-6494
Practice Address - Fax:718-231-6496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-25
Last Update Date:2009-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010311111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty