Innate Life

LBN: Innate Life Llc
Innate Life is an health care organization with primary practice located at 1338 N 4Th St , Tomahawk WI 54487-2137. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Innate Life Llc can be contacted via phone (171) 545-3536, or through Milcarek, Kelley via phone (715) 453-5365.

Contact Information

Primary practice address
1338 N 4Th St Tomahawk WI 54487-2137
Phone: (171) 545-3536
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Milcarek, Kelley Doctor of Chiropractic (DC)
Phone: (715) 453-5365

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1972216166
LBN Legal business name Innate Life Llc
DBA Doing business as Innate Life
Authorized official Milcarek, Kelley Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2023
Last updated Sep 25th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972216166 NPPES
Wisconsin MEDICAID 1255868550

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