Renu Chiropractic, Llc | |
907 S College Ave, Newark, DE 19713-2303 | |
(302) 368-0124 | |
Not Available |
Full Name | Renu Chiropractic, Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 907 S College Ave, Newark, Delaware |
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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1083950778 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | F1-0000367 (Delaware) | Primary |
Provider Name | Matthew Garrett Defroda |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1083069462 PECOS PAC ID: 9638469596 Enrollment ID: I20160606000233 |
Provider Name | Colton Gervais |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1710652185 PECOS PAC ID: 2264838630 Enrollment ID: I20210909003234 |
Provider Name | Jennifer Walder |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1255586160 PECOS PAC ID: 6507885167 Enrollment ID: I20230611000046 |
Mailing Address | Practice Location Address |
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Renu Chiropractic, Llc 907 S College Ave, Newark, DE 19713-2303 Ph: (302) 368-0124 | Renu Chiropractic, Llc 907 S College Ave, Newark, DE 19713-2303 Ph: (302) 368-0124 |
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