Organization
HEALTHY HABITS WELLNESS CENTER LAB
Active
Parent organization
HEALTHY HABITS WELLNESS CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTHY HABITS WELLNESS CENTER
Authorized official
DR. JON M MILLER DO (PRESIDENT)
(304) 752-4594
Entity
Organization
Contact information
Practice address
140 STOLLINGS AVE, STE 3, LOGAN, WV 25601-4035
(304) 752-4594
(304) 752-5629
Mailing address
140 STOLLINGS AVE, STE 3, LOGAN, WV 25601-4035
(304) 752-4594
(304) 752-5629
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810005483
—
WV
Enumeration date
05/23/2008
Last updated
05/23/2008
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