Provider Demographics
NPI:1174761167
Name:WELLNESS CONSULTING SERVICES INC
Entity type:Organization
Organization Name:WELLNESS CONSULTING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JACKY
Authorized Official - Middle Name:F
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:479-970-6853
Mailing Address - Street 1:PO BOX 11089
Mailing Address - Street 2:
Mailing Address - City:RUSSELLVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72812-1089
Mailing Address - Country:US
Mailing Address - Phone:479-890-9355
Mailing Address - Fax:
Practice Address - Street 1:1605 WEST C PLACE
Practice Address - Street 2:
Practice Address - City:RUSSELLVILLE
Practice Address - State:AR
Practice Address - Zip Code:72801
Practice Address - Country:US
Practice Address - Phone:479-890-9355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-28
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty