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REBEL CHIROPRACTIC LLC NPI 1104368026


NPI Information

NPI: 1104368026
Provider Name: REBEL CHIROPRACTIC LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1222 PRAY BLVD STE 1
WATERVILLE, OH
ZIP 43566
Phone: (419) 878-8142
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REBEL CHIROPRACTIC LLC is a chiropractor in Waterville, OH. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. REBEL CHIROPRACTIC LLC NPI is 1104368026. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1222 PRAY BLVD STE 1
WATERVILLE, OH
ZIP 43566-717
Phone: (419) 878-8142
Fax: (419) 878-8143

The provider's authorized official is Jon Schwanz .
The authorized official title is Owner and has the following contact phone number (419) 878-8142.

The enumeration date for this NPI number is 11/9/2016 and was last updated on 9/18/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor1201OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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