| Renew Chiropractic And Wellness, Llc | |
|
4880 Highway 22 Ste 1 Mandeville LA 70471-6798 | |
| (985) 264-3369 | |
| Not Available |
| Full Name | Renew Chiropractic And Wellness, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4880 Highway 22 Ste 1, Mandeville, Louisiana |
| Authorized Official Name and Position | Jeffrey Todd Brown (MEMBER) |
| Authorized Official Contact | 9852643369 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Chiropractic And Wellness, Llc 110 Bigner Rd Mandeville LA 70471-2502 Ph: (985) 264-3369 | Renew Chiropractic And Wellness, Llc 4880 Highway 22 Ste 1 Mandeville LA 70471-6798 Ph: (985) 264-3369 |
| NPI Number | 1437996725 |
|---|---|
| Provider Enumeration Date | 07/12/2024 |
| Last Update Date | 07/12/2024 |
| Medicare PECOS PAC ID | 3476082405 |
|---|---|
| Medicare Enrollment ID | O20250205000075 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437996725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Jeffrey T Brown |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1841881414 PECOS PAC ID: 3971918632 Enrollment ID: I20250121001917 |
| Provider Name | Eryn M Brown |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1700350709 PECOS PAC ID: 8921346487 Enrollment ID: I20250205000225 |
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