National Provider Identifier Database

REGENATIVE IVS LLC
Holistic


Contact Information

REGENATIVE IV'S LLC
421 E 30TH AVE
HUTCHINSON, KS67502-2412
Phone: 620-663-2678
Fax: 866-557-4375
Website:
Specialty Taxonomy Code
* Holistic 364SH1100X

* Indicates primary specialty

NPI Profile & details for REGENATIVE IV'S LLC

NPI Number 1013620590
Legal business name
LBN
REGENATIVE IV'S LLC
Authorized official NICOLE SCHROEDER - (OFFICE MANAGER/RN)
Entity Organization
Organization subpart No
Enumeration date 12/30/2022
Last updated 01/01/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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