Provider Demographics
NPI:1629762166
Name:E&S WELLNESS PLLC
Entity type:Organization
Organization Name:E&S WELLNESS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LEAD CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:REEM
Authorized Official - Middle Name:K
Authorized Official - Last Name:SAMHAT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:248-982-6888
Mailing Address - Street 1:46352 PINEHURST DR
Mailing Address - Street 2:
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48168-8492
Mailing Address - Country:US
Mailing Address - Phone:313-615-9891
Mailing Address - Fax:
Practice Address - Street 1:25010 FORD RD
Practice Address - Street 2:
Practice Address - City:DEARBORN HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48127-3114
Practice Address - Country:US
Practice Address - Phone:734-249-8173
Practice Address - Fax:734-249-8173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-07
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
No111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty