Wellnessone Of Collinsville
LBN: Wellnessone Of Collinsville
Wellnessone Of Collinsville is an health care organization with primary practice located at 410 Regency Ctr , Collinsville IL 62234-4659. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Chiropractic Providers / Chiropractor is the primary health care specialty.
Wellnessone Of Collinsville can be contacted via phone (618) 343-3602, or through Dorrity, Scott M via phone (618) 343-3602.
Contact Information
Primary practice address
410 Regency Ctr
Collinsville IL 62234-4659
Phone: (618) 343-3602
Fax:
Website:
Authorized official contact:
Name: Dorrity, Scott M Doctor of Chiropractic (DC)
Phone: (618) 343-3602
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | Illinois | |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | Illinois |
Profile Details
| NPI number | 1760503619 |
|---|---|
| LBN Legal business name | Wellnessone Of Collinsville |
| DBA Doing business as | |
| Authorized official | Dorrity, Scott M Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 2nd, 2007 |
| Last updated | Aug 22nd, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760503619 | NPPES |
| Illinois | Other | 06032162 | BLUE CROSS BLUE SHIELD |
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