Provider Demographics
NPI:1407668007
Name:NEW AMSTERDAM WELLNESS COMPANY, LLC
Entity type:Organization
Organization Name:NEW AMSTERDAM WELLNESS COMPANY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-787-1392
Mailing Address - Street 1:2207 CENTRAL AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:MIDDLETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45044-4603
Mailing Address - Country:US
Mailing Address - Phone:513-299-3387
Mailing Address - Fax:513-536-6929
Practice Address - Street 1:2207 CENTRAL AVE
Practice Address - Street 2:SUITE A
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45044-4603
Practice Address - Country:US
Practice Address - Phone:513-299-3387
Practice Address - Fax:513-536-6929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction MedicineGroup - Single Specialty