Integrity Sport & Spine Chiropractic Center, LLC
Organization Active NPI Chiropractor · Newark, DE
NPI 1295158129 · NPPES record last updated Feb 11, 2014
Key facts
- NPI
- 1295158129
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- F1-0000629 (DE)
- Legal business name
- INTEGRITY SPORT & SPINE CHIROPRACTIC CENTER, LLC
- Practice address
- 100 Biddle Ave
Suite 102
Newark, DE 19702-3981 - Phone
- (302) 595-2344
- Fax
- (302) 595-2134
- NPI assigned
- Jan 29, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Shaun E Rinow, DC
- Title
- Owner/Doctor
- Phone
- (302) 595-2344
Practitioners 1
-
Shaun Edward Rinow, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140313000374 | DE | Part B Supplier - Clinic/Group Practice | 5193955136 |
Receives reassigned benefits from 1 practitioner Practice locations: Newark, DE |
National Provider Directory
Locations
100 Biddle Ave
Ste 102
Newark, DE 19702
Phone (302) 595-2344
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | F1-0000629 | DE | Yes |
Addresses
Primary practice location
100 Biddle Ave
Suite 102
Newark, DE 19702-3981
Mailing address
100 Biddle Ave
Suite 102
Newark, DE 19702-3981
Phone (302) 595-2344
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019399ZCBF | Other | DE | PTAN |
| 1851577878 | Other | DE | NPI |
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.