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Organization
IDEAL WELLNESS LLC
Active
Organization
IDEAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DORN (CEO/OWNER)
(410) 916-6888
Entity
Organization
Contact information
Practice address
220 W COLD SPRING LN, BALTIMORE, MD 21210-2802
(410) 662-4476
(410) 662-9884
Mailing address
220 W COLD SPRING LN, BALTIMORE, MD 21210-2802
(410) 663-4476
(410) 662-9884
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
—
NULL
111NR0400X
Rehabilitation Chiropractor
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
261QP2000X
Physical Therapy Clinic/Center
—
NULL
261QP3300X
Pain Clinic/Center
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
332BC3200X
Customized Equipment (DME)
—
NULL
Other
Enumeration date
01/23/2025
Last updated
10/08/2026
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