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Individual
DR. EVERETT HENRY WELLS JR.
Active
Individual
DR. EVERETT HENRY WELLS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0001491
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350055886
RAILROAD MEDICARE
FL
05
—
380128400
—
FL
01
—
610669300
DOL
FL
01
—
89663
PROVIDER NUMBER
FL
Enumeration date
12/14/2006
Last updated
07/09/2007
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