Provider Demographics
NPI:1144665290
Name:CHOSEN SPOT CHIROPRACTIC & WELLNESS PLLC
Entity type:Organization
Organization Name:CHOSEN SPOT CHIROPRACTIC & WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:S
Authorized Official - Last Name:O'LOUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:585-394-2030
Mailing Address - Street 1:142 BEMIS ST
Mailing Address - Street 2:
Mailing Address - City:CANANDAIGUA
Mailing Address - State:NY
Mailing Address - Zip Code:14424-1503
Mailing Address - Country:US
Mailing Address - Phone:585-394-2030
Mailing Address - Fax:585-394-0454
Practice Address - Street 1:142 BEMIS ST
Practice Address - Street 2:
Practice Address - City:CANANDAIGUA
Practice Address - State:NY
Practice Address - Zip Code:14424-1503
Practice Address - Country:US
Practice Address - Phone:585-394-2030
Practice Address - Fax:585-394-0454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-02
Last Update Date:2018-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty