TY Rebedew

Chiropractor · Berlin, WI

Individual Active NPI

NPI number 1073100178

Practice location

147 N State St
Berlin, WI 54923-1621
Phone
(920) 361-3515
Fax
(920) 361-2733

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NPI record

NPI
1073100178
Entity type
Individual (Type 1)
Enumeration date
December 23, 2020
Last updated
March 23, 2023
Certified
March 23, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 3306-12 WI

About TY Rebedew

TY Rebedew is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 147 N State St, Berlin, WI 54923-1621. The NPI number 1073100178 was assigned on December 23, 2020 and the record was last updated on March 23, 2023.

TY Rebedew lists a license in the registry: #3306-12 (WI) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of TY Rebedew?

The NPI number is 1073100178.

What is the phone number of TY Rebedew?

The phone number listed for the practice location is (920) 361-3515.

Where is TY Rebedew located?

147 N State St, Berlin, WI 54923-1621.

What is the taxonomy code for TY Rebedew?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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