Individual
DR. EVERETT HENRY WELLS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1251 S VOLUSIA AVE, ORANGE CITY, FL 32763-7026
(386) 775-2100
(386) 775-1452
Mailing address
1251 S VOLUSIA AVE, ORANGE CITY, FL 32763-7026
(386) 775-2100
(386) 775-1452
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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