Restoring Life Llc | |
671 3rd Ave Ste E, Jasper, IN 47546-3653 | |
(812) 631-8653 | |
Not Available |
Full Name | Restoring Life Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 671 3rd Ave Ste E, Jasper, Indiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205483641 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Lindsey Linne |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1962062935 PECOS PAC ID: 4082944939 Enrollment ID: I20190923000208 |
Provider Name | Alex J Linne |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1518598093 PECOS PAC ID: 7911316336 Enrollment ID: I20211019002455 |
Mailing Address | Practice Location Address |
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Restoring Life Llc 671 3rd Ave Ste E, Jasper, IN 47546-3653 Ph: (812) 631-8653 | Restoring Life Llc 671 3rd Ave Ste E, Jasper, IN 47546-3653 Ph: (812) 631-8653 |
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