Provider Demographics
NPI:1750320644
Name:PARTAIN CHIROPRACTIC WELLNESS CENTER
Entity type:Organization
Organization Name:PARTAIN CHIROPRACTIC WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:LON
Authorized Official - Last Name:PARTAIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:806-687-1111
Mailing Address - Street 1:4019 112TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-6749
Mailing Address - Country:US
Mailing Address - Phone:806-687-1111
Mailing Address - Fax:806-687-1112
Practice Address - Street 1:4019 112TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-6749
Practice Address - Country:US
Practice Address - Phone:806-272-4000
Practice Address - Fax:806-272-4002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-06
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10268111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty