| Complete Wellness Inc | |
|
25 Joshua Lane Hawesville KY 42348 | |
| (270) 927-1000 | |
| (270) 927-1077 |
| Full Name | Complete Wellness Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 25 Joshua Lane, Hawesville, Kentucky |
| Authorized Official Name and Position | Nicholas Adam Brockman (OWNER) |
| Authorized Official Contact | 2709271000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Wellness Inc Po Box 242 Hawesville KY 42348-0242 Ph: (270) 927-1000 | Complete Wellness Inc 25 Joshua Lane Hawesville KY 42348 Ph: (270) 927-1000 |
| NPI Number | 1306443908 |
|---|---|
| Provider Enumeration Date | 10/06/2020 |
| Last Update Date | 10/06/2020 |
| Medicare PECOS PAC ID | 4284045816 |
|---|---|
| Medicare Enrollment ID | O20201202002287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306443908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Nicholas A Brockman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1114105319 PECOS PAC ID: 0143306555 Enrollment ID: I20080326000309 |
| Provider Name | Megan Harth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629528252 PECOS PAC ID: 7719261486 Enrollment ID: I20210316000444 |
Bridgewater Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 35 Joshua Ln, Hawesville, KY 42348 Phone: 270-927-8585 Fax: 270-927-8911 |