MEDICARE: REINEN-BEYLER CHIROPRACTIC, LLC

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	4846-12	WI

General Provider Information

NPI Number	:	1225459639
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REINEN-BEYLER CHIROPRACTIC, LLC

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	:	608-845-7770

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	:	608-845-7770

Authorized Official
Title or Position	:	OWNER
Name	:	DR. STEVEN MICHAEL BEYLER
Credential	:	DC
Telephone Number	:	608-845-8860

Provider Enumeration Date	:	01/02/2014
Last Update Date	:	01/02/2014

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