# LIVE WELL CHIROPRACTIC OF WNY, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578923603
- **Authorized official:** CHRISTIAN J STACK D.C. (PRESIDENT)
- **Authorized official phone:** (716) 839-9355

## Contact information

- **Practice address:** 3963 MAIN ST, AMHERST, NY 14226-3401
- **Practice address phone:** (716) 839-9355
- **Practice address fax:** (716) 247-6616
- **Mailing address:** 3963 MAIN ST, AMHERST, NY 14226-3401
- **Mailing address phone:** (716) 839-9355
- **Mailing address fax:** (716) 247-6616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | Yes |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 03/02/2016
- **Last updated:** 03/02/2016
