| Innovative Health Llc | |
|
2114 Schofield Ave Weston WI 54476-2365 | |
| (715) 355-4224 | |
| (715) 355-4120 |
| Full Name | Innovative Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2114 Schofield Ave, Weston, Wisconsin |
| Authorized Official Name and Position | Kevin E Ritzenthaler (CHIROPRACTOR) |
| Authorized Official Contact | 7153554224 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Health Llc 2114 Schofield Ave Weston WI 54476-2365 Ph: (715) 355-4224 | Innovative Health Llc 2114 Schofield Ave Weston WI 54476-2365 Ph: (715) 355-4224 |
| NPI Number | 1689988495 |
|---|---|
| Provider Enumeration Date | 08/04/2010 |
| Last Update Date | 08/02/2017 |
| Medicare PECOS PAC ID | 3375726631 |
|---|---|
| Medicare Enrollment ID | O20110323000764 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689988495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 3727 (Wisconsin) | Primary |
| Provider Name | James S Shebuski |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1720027907 PECOS PAC ID: 9133146178 Enrollment ID: I20051028000326 |
| Provider Name | Colleen E Boling |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1013955590 PECOS PAC ID: 9032121785 Enrollment ID: I20060620000081 |
| Provider Name | Kevin E Ritzenthaler |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1518063684 PECOS PAC ID: 1355494790 Enrollment ID: I20090731000507 |
| Provider Name | Cody J Hansen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1750815031 PECOS PAC ID: 8628344041 Enrollment ID: I20171030001085 |
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