MEDICARE: DR. PATRICIA ANN RINDY D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	3381-012	WI

General Provider Information

NPI Number	:	1558384222
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICIA ANN RINDY D.C.

Provider Business Mailing Address
First Line	:	1365 NORTH RD
Second Line	:	SUITE B
City	:	GREEN BAY
State	:	WI
Zip	:	54313-6305
Country	:	US
Telephone Number	:	920-405-9830
Fax Number	:	920-405-9831

Provider Business Practice Location Address
First Line	:	1365 NORTH RD
Second Line	:	SUITE B
City	:	GREEN BAY
State	:	WI
Zip	:	54313-6305
Country	:	US
Telephone Number	:	920-405-9830
Fax Number	:	920-405-9831

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	07/08/2007

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