MEDICARE: REINEN CHIROPRACTIC OFFICE

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	1716	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184848111
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REINEN CHIROPRACTIC OFFICE

Provider Business Mailing Address
First Line	:	115 ENTERPRISE DR
Second Line	:
City	:	VERONA
State	:	WI
Zip	:	53593-9122
Country	:	US
Telephone Number	:	608-845-8860
Fax Number	:

Provider Business Practice Location Address
First Line	:	115 ENTERPRISE DR
Second Line	:
City	:	VERONA
State	:	WI
Zip	:	53593-9122
Country	:	US
Telephone Number	:	608-845-8860
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. STEVEN PAUL REINEN
Credential	:	D.C.
Telephone Number	:	608-845-8860

Provider Enumeration Date	:	04/12/2007
Last Update Date	:	08/22/2020

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Directions to “REINEN CHIROPRACTIC OFFICE ” Practice Location

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