Provider Demographics
NPI:1528322088
Name:HEALTH IS WEALTH CHIROPRACTIC, PLLC
Entity type:Organization
Organization Name:HEALTH IS WEALTH CHIROPRACTIC, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:WEIR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:231-946-5816
Mailing Address - Street 1:3409 VETERANS DR
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684-4510
Mailing Address - Country:US
Mailing Address - Phone:231-946-5816
Mailing Address - Fax:231-946-3756
Practice Address - Street 1:3409 VETERANS DR
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684-4510
Practice Address - Country:US
Practice Address - Phone:231-946-5816
Practice Address - Fax:231-946-3756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-29
Last Update Date:2013-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301005907111N00000X
MI2301007712111N00000X
MI111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIMI5957Medicare PIN
MIU30853Medicare UPIN