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DR. RENEE IRENE PETHTEL D.C. NPI 1760431977


NPI Information

NPI: 1760431977
Provider Name: DR. RENEE IRENE PETHTEL, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
23610 VAN BORN RD
DEARBORN HEIGHTS, MI
ZIP 48125
Phone: (313) 291-1060
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DR. Renee Irene Pethtel, D.C. is a chiropractor in Dearborn Heights, MI with 28 years of experience. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Renee Irene Pethtel, D.C. NPI is 1760431977. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LIFE CHIROPRACTIC COLLEGE - WEST
Graduation Year:1996

The provider's business location address is:

23610 VAN BORN RD
DEARBORN HEIGHTS, MI
ZIP 48125-356
Phone: (313) 291-1060
Fax: (313) 291-1089

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Chiropractic manipulative treatment, 5 spinal regions (HCPCS:98942)
  • Chiropractic manipulative treatment, 3 to 4 spinal regions (HCPCS:98941)

The enumeration date for this NPI number is 5/8/2006 and was last updated on 2/5/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor2301007287MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13264700MEDICAIDMICHIGAN
2950H253460OTHERMICHIGANBCBS PPO
3140343OTHERMICHIGANPREFERRED CHOICES
4P101064OTHERMICHIGANBLUECARE NETWORK
511285842OTHERMICHIGANCAQH
6RP007287OTHERMICHIGANBCBS ID
7U61953OTHERMICHIGANHAP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.