REJUVENATE LIFE CHIROPRACTIC, LLC (NPI# 1578797684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578797684 |
Entity Type | Organization |
Organization Name | REJUVENATE LIFE CHIROPRACTIC, LLC |
Practice Address |
44 S 2nd Ave Sturgeon Bay WI 54235 |
Mailing Address |
1828 Aspen Ln Green Bay WI 54303-2314 |
Practice Telephone | 9208180045 |
Mailing Telephone | 9208832095 |
Enumeration Date | 2009-05-05 |
Last Update Date | 2018-08-15 |
Authorized Official Name | DR. ERIN DENIL (CHIROPRACTOR) |
Authorized Official Telephone | 9208832095 |
Authorized Official Credential | D.C. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 4464-12 | WI | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 1497989677 | 05 |
Street Address |
44 S 2ND AVE |
City | STURGEON BAY |
State | WI |
Zip Code | 54235 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285161216 | Door County Chiropractic Center | Chiropractor | 44 S 2nd Ave, Sturgeon Bay, WI 54235-2526 | 2017-05-22 |
1285981985 | Kathleen Elizabeth Arnold | Chiropractor | 44 S 2nd Ave, Sturgeon Bay, WI 54235-2526 | 2012-08-13 |
1568769339 | Margaret Buhk | Counselor | 44 S 2nd Ave, Sturgeon Bay, WI 54235-2526 | 2011-02-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811406648 | Door County Young Men's Christian Association Inc | Health Educator | 1900 Michigan Street, Sturgeon Bay, WI 54235 | 2017-09-25 |
1386900918 | Ministry Door County | Clinic/Center | 323 S 16th Pl, Sturgeon Bay, WI 54235 | 2012-04-09 |
1316198765 | Sheryl Faye Flores | Social Worker | 421 Nebraska Street, Door County Community Programs, Sturgeon Bay, WI 54235 | 2008-10-03 |
1609023084 | Leah Rose Wiegand | Licensed Practical Nurse | 925 S. Oxford Ave, Apt 142, Sturgeon Bay, WI 54235 | 2008-08-27 |
1609034297 | Laurie T Hoffman | Speech-Language Pathologist | 447 No 6th Ave, Sturgeon Bay, WI 54235 | 2008-05-30 |
1841477908 | Randall C Rasmussen | Chiropractor | 5867 Timber Ridge Road, Sturgeon Bay, WI 54235 | 2008-01-30 |
1558542910 | Katherine Ann Sperber | Hearing Instrument Specialist | 611d Jefferson, Sturgeon Bay, WI 54235 | 2007-11-14 |
1750572913 | Kristine M Matysiak | Physician Assistant | 323 S. 18th Avenue, Sturgeon Bay, WI 54235 | 2007-08-05 |
1215141841 | Eyes for You Inc | Technician/Technologist | 160 Cherry Point Mall, Sturgeon Bay, WI 54235 | 2007-05-10 |
1891913158 | Michael F Pinelli | Counselor | 1009 Egg Harbor Rd, #120, Sturgeon Bay, WI 54235 | 2007-04-23 |
Find all providers in zip 54235 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | 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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740670348 | Cherryland Chiropractic and Rehabilitation, LLC | Chiropractor | 810 S Lansing Ave Ste A, Sturgeon Bay, WI 54235-2858 | 2015-02-03 |
1972908895 | Derek Grenfell | Chiropractor | 185 E Walnut St # 140, Sturgeon Bay, WI 54235-3900 | 2014-11-04 |
1841477908 | Randall C Rasmussen | Chiropractor | 5867 Timber Ridge Road, Sturgeon Bay, WI 54235 | 2008-01-30 |
1689791204 | Cathleen Lee Hietpas | Chiropractor | 1444 Egg Harbor Rd, Sturgeon Bay, WI 54235-1240 | 2007-03-26 |
1760558191 | Moellendorf Chiropractic Office, Ltd. | Chiropractor | 1140 Egg Harbor Rd, Sturgeon Bay, WI 54235-1234 | 2006-11-28 |
1174694921 | Melissa Virginia Nelson | Chiropractor | 1034 Memorial Dr, Sturgeon Bay, WI 54235-1861 | 2006-11-13 |
1649357336 | Randal E Arnold | Chiropractor | 331 Kentucky St, Sturgeon Bay, WI 54235-2419 | 2006-11-01 |
1285161216 | Door County Chiropractic Center | Chiropractor | 44 S 2nd Ave, Sturgeon Bay, WI 54235-2526 | 2017-05-22 |
1770829780 | Levi R. Arnold | Chiropractor | 331 Kentucky St, Sturgeon Bay, WI 54235-2419 | 2012-12-19 |
1285981985 | Kathleen Elizabeth Arnold | Chiropractor | 44 S 2nd Ave, Sturgeon Bay, WI 54235-2526 | 2012-08-13 |
Find all providers in STURGEON BAY |
City | STURGEON BAY |
Zip Code | 54235 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.