Provider Demographics
NPI:1558514299
Name:CHIRO ONE WELLNESS CENTER OF BEAUMONT PLLC
Entity type:Organization
Organization Name:CHIRO ONE WELLNESS CENTER OF BEAUMONT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEREMIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:606-831-4432
Mailing Address - Street 1:3526 SOLUTIONS CTR
Mailing Address - Street 2:LOCKBOX #773526
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-0001
Mailing Address - Country:US
Mailing Address - Phone:606-831-4432
Mailing Address - Fax:859-264-8081
Practice Address - Street 1:989 GOVERNORS LN
Practice Address - Street 2:SUITE #280
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40513-1173
Practice Address - Country:US
Practice Address - Phone:606-831-4432
Practice Address - Fax:859-219-1119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-28
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty