Rejuvenate Life Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4464-12 Issued in WI

Legal business name

REJUVENATE LIFE CHIROPRACTIC, LLC

Practice address

44 S 2ND Ave
Sturgeon Bay, WI 54235

Phone

(920) 818-0045

NPI assigned

May 5, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Erin Denil, D.C.NPI 1497989677

Title

Chiropractor

Phone

(920) 883-2095

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erin Ann Denil, D.C.

  • Chiropractor
  • Green Bay, WI
  • NPI 1497989677
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534291200000",
    "number": "1578797684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 ASPEN LN",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543032314",
            "telephone_number": "920-883-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 S 2ND AVE",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "54235",
            "telephone_number": "920-818-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENATE LIFE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-05",
        "last_updated": "2018-08-15",
        "status": "A",
        "authorized_official_last_name": "DENIL",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "920-883-2095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4464-12",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497989677",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carl Arthur Rauch, RPH
• Holly Jean Ray, DPT
• Wendi Marie Ray, MS, CCC-SLP
• Megan Marie Recupero, PHARMD
• Kelton J Reitz, D.O.
• Ronie Partosa Remoto, PT
• Morgan Richmond, RD, CEDS-C
• Alina Elizabeth Rivera, APSW
• Victoria Lynn Robel, LPC-IT
• Robert H. Hoover LTD.

• Chiropractor in Sturgeon Bay, WI
• Providers in Sturgeon Bay, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.