Provider Demographics
NPI:1144865395
Name:WELLBEING HEALTH CENTER
Entity type:Organization
Organization Name:WELLBEING HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:VANWAGENEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:916-771-4151
Mailing Address - Street 1:568 N. SUNRISE AVE SUITE 200
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661
Mailing Address - Country:US
Mailing Address - Phone:916-771-4151
Mailing Address - Fax:916-588-4730
Practice Address - Street 1:568 N SUNRISE AVE STE 200
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-2888
Practice Address - Country:US
Practice Address - Phone:916-771-4151
Practice Address - Fax:916-588-4730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-12
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty