Renewed Health Family Chiropractic Llc | |
16645 W Greenfield Ave Ste D, New Berlin, WI 53151-1546 | |
(262) 788-5940 | |
Not Available |
Full Name | Renewed Health Family Chiropractic Llc |
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Type | Facility |
Speciality | Chiropractor - Occupational Health |
Location | 16645 W Greenfield Ave Ste D, New Berlin, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1215499397 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111NX0100X | Chiropractor - Occupational Health | (* (Not Available)) | Primary |
Provider Name | Emily Johanna Johnson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1477086486 PECOS PAC ID: 7416233960 Enrollment ID: I20170417001766 |
Mailing Address | Practice Location Address |
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Renewed Health Family Chiropractic Llc N7004 County Road O, Elkhorn, WI 53121-2827 Ph: (262) 903-1360 | Renewed Health Family Chiropractic Llc 16645 W Greenfield Ave Ste D, New Berlin, WI 53151-1546 Ph: (262) 788-5940 |
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