Jimmy A Reidt

LBN: Shell Lake Cumberland Chiropractic Clinics Llc
Jimmy A Reidt is an health care organization with primary practice located at 17 5Th Ave , Shell Lake WI 54871. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Shell Lake Cumberland Chiropractic Clinics Llc can be contacted via phone (715) 468-2275, or through Reidt, Brenda via phone (715) 468-2275.

Contact Information

Primary practice address
17 5Th Ave Shell Lake WI 54871
Phone: (715) 468-2275
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Reidt, Brenda Doctor of Chiropractic (DC)
Phone: (715) 468-2275

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3069 Wisconsin

Profile Details

NPI number 1104014059
LBN Legal business name Shell Lake Cumberland Chiropractic Clinics Llc
DBA Doing business as Jimmy A Reidt
Authorized official Reidt, Brenda Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2007
Last updated Jan 13th, 2021 - about 5 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 1104014059 NPPES
Other 70330 MEDICARE GROUP NUMBER

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