National Provider Identifier Database

REJUVENATE LIFE CHIROPRACTIC LLC
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


Contact Information

REJUVENATE LIFE CHIROPRACTIC, LLC
44 S 2ND AVE
STURGEON BAY, WI54235
Phone: 920-818-0045
Fax:
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for REJUVENATE LIFE CHIROPRACTIC, LLC

NPI Number 1578797684
Legal business name
LBN
REJUVENATE LIFE CHIROPRACTIC, LLC
Authorized official ERIN DENIL - (CHIROPRACTOR)
Entity Organization
Organization subpart No
Enumeration date 05/05/2009
Last updated 08/15/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 4464-12
  • WI Medicaid: 1497989677

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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