| Renew Chiropractic Llc | |
|
9151 Caenen Lake Rd Lenexa KS 66215-3668 | |
| (316) 737-8041 | |
| Not Available |
| Full Name | Renew Chiropractic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9151 Caenen Lake Rd, Lenexa, Kansas |
| Authorized Official Name and Position | Sabra Coop (DC) |
| Authorized Official Contact | 9137177026 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Chiropractic Llc 9151 Caenen Lake Rd Lenexa KS 66215-3668 Ph: (316) 737-8041 | Renew Chiropractic Llc 9151 Caenen Lake Rd Lenexa KS 66215-3668 Ph: (316) 737-8041 |
| NPI Number | 1629779343 |
|---|---|
| Provider Enumeration Date | 03/10/2023 |
| Last Update Date | 03/16/2023 |
| Medicare PECOS PAC ID | 4688030661 |
|---|---|
| Medicare Enrollment ID | O20230517001431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629779343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Sabra D Coop |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1467917484 PECOS PAC ID: 5597121574 Enrollment ID: I20230517001529 |
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