Provider Demographics
NPI:1447932892
Name:RENNARD CHIROPRACTIC LLC
Entity type:Organization
Organization Name:RENNARD CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:
Authorized Official - First Name:MALLORY
Authorized Official - Middle Name:HOPE
Authorized Official - Last Name:RENNARD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:740-474-5352
Mailing Address - Street 1:778 N COURT ST
Mailing Address - Street 2:
Mailing Address - City:CIRCLEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43113-1262
Mailing Address - Country:US
Mailing Address - Phone:740-474-5352
Mailing Address - Fax:740-474-5730
Practice Address - Street 1:778 N COURT ST
Practice Address - Street 2:
Practice Address - City:CIRCLEVILLE
Practice Address - State:OH
Practice Address - Zip Code:43113-1262
Practice Address - Country:US
Practice Address - Phone:740-474-5352
Practice Address - Fax:740-474-5730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-04
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty