LIFESTYLE WELLNESS CENTER LLC (NPI# 1780859272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780859272 |
| Entity Type | Organization |
| Organization Name | LIFESTYLE WELLNESS CENTER LLC |
| Practice Address |
307 Main Street Pineville MO 64856 |
| Mailing Address |
Po Box 37 Pineville MO 64856-0037 |
| Practice Telephone | 4172234103 |
| Practice Fax Number | 4172234102 |
| Mailing Telephone | 4172234103 |
| Mailing Fax Number | 4172234102 |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |
| Authorized Official Name | MRS. LESLI G SMITH (OWNER) |
| Authorized Official Telephone | 4172234103 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 003822 | MO | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BLUE CROSS BLUE SHIELD | 2106860001 | 01 |
| Street Address |
307 MAIN STREET |
| City | PINEVILLE |
| State | MO |
| Zip Code | 64856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790811784 | Lifestyle Wellness Center, LLC | Chiropractor | 307 Main Street, Pineville, MO 64856 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801915244 | Gary David Neymeyer | Optometrist | 342 Commercial Drive, Pineville, MO 64856 | 2007-03-28 |
| 1093715740 | Judith G Lewallen | Nurse Practitioner | 100 Jessie James Blvd, Pineville, MO 64856 | 2005-07-22 |
| 1548269046 | Elk River Health Services, Inc. | Clinic/Center | 5265 S Bus Hwy 71, Suite J, Pineville, MO 64856 | 2005-07-18 |
| 1861670317 | State Line Chiropractic Clinic LLC | Chiropractor | 95 Bear Hollow Rd, Pineville, MO 64856 | 2008-02-07 |
| 1104028687 | Norman Alan Smith | Chiropractor | 307 Main St, Pineville, MO 64856 | 2007-06-05 |
| 1548271265 | Wal-mart Stores East Lp | Technician/Technologist | 100 Commercial Dr, Pineville, MO 64856 | 2006-08-10 |
| 1851420525 | Elk River Health Services, Inc. | Family Medicine | 5265 S Bus Hwy 71, Suite J, Pineville, MO 64856-0265 | 2007-03-05 |
| 1184740334 | County of Mcdonald | Public Health or Welfare | 500 Olin St, Pineville, MO 64856-0366 | 2007-03-21 |
| 1538319009 | Norman Fredrick Waters | Registered Nurse | 1437 Tyson Rd, Pineville, MO 64856-7014 | 2008-09-22 |
| 1821016304 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 100 Commercial Ln, Pineville, MO 64856-7069 | 2006-07-17 |
| Find all providers in zip 64856 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508368952 | Kayla Anne Tobey | Chiropractor | 112 Pelican Dr Ste A, Pineville, LA 71360-5372 | 2018-03-01 |
| 1366735839 | Nicole Mani Wallace | Chiropractor | 219 Main St Ste A, Pineville, NC 28134-7528 | 2011-05-17 |
| 1659663029 | Focal Point Chiropractic Health Center Pllc | Chiropractor | 103 Dover St., Pineville, NC 28134 | 2011-05-04 |
| 1780887786 | Adam J Hebert | Chiropractor | 3021 Highway 28 E, Pineville, LA 71360-5718 | 2007-06-07 |
| 1285710624 | Lisa Katheryn Gregory | Chiropractor | 102 E Virginia Ave, Pineville, KY 40977-1671 | 2006-10-28 |
| 1003919192 | Joey Scott Hartsell | Chiropractor | 216 Main St., Pineville, NC 28134 | 2006-09-06 |
| 1538276167 | Cartwright Chiropractic Pa | Chiropractor | 600 Town Centre Blvd Ste 202, Pineville, NC 28134-8473 | 2006-08-23 |
| 1467472266 | Karri Lee Gramlich-mabou | Chiropractor | 2660 Highway 28 E, Pineville, LA 71360-5614 | 2006-07-21 |
| 1649204736 | Wynn Traylor Harvey | Chiropractor | 1319 Donahue Ferry Rd, Pineville, LA 71360-5143 | 2006-07-11 |
| 1578511630 | Denise M Cartwright | Chiropractor | 600 Town Centre Blvd., # 202, Pineville, NC 28134-8473 | 2006-05-04 |
| Find all providers in PINEVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.