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Contact Information

REJUVENATE LIFE CHIROPRACTIC, LLC
44 S 2ND AVE
STURGEON BAY, WI54235
 Phone: 920-818-0045
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for REJUVENATE LIFE CHIROPRACTIC, LLC

NPI Number 1578797684
LBN Legal business name REJUVENATE LIFE CHIROPRACTIC, LLC
Authorized official ERIN DENIL - (CHIROPRACTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/05/2009
Last updated 08/15/2018 - About 8 years ago
Identifiers
WI License # 4464-12
WI Medicaid 1497989677
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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