Dr. Renee Irene Pethtel is a Dearborn Heights, Michigan based female chiropractor with 28 years of experience in General Chiropractor. She completed her graduation from Life Chiropractic College - West in 1996. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Renee Irene Pethtel as General Chiropractor is 2301007287 in Michigan. Dr. Renee Irene Pethtel is qualified as 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.
Complete Profile:
Dr. Renee Irene Pethtel speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
D.C.
Experience:
28+ years
Medical School Attended:
Life Chiropractic College - West
Graduation Year:
1996
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
23610 Van Born Rd, Dearborn Heights, Michigan, 48125-2356
Phone:
313-291-1060
Fax:
313-291-1089
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8022029305
Enrollment ID:
I20060530000091
NPI Number:
1760431977
NPI Enumeration Date:
08 May, 2006
NPI Last Update On:
05 Feb, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Renee Irene Pethtel are as mentioned below.
License Number
Specialization
State
Status
2301007287
Chiropractor
Michigan
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Renee Irene Pethtel is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Van Born Chiropractic Clinic P.c. (2769493048)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Renee Irene Pethtel such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
3264700
Medicaid
Michigan
950H253460
Other
Michigan
BCBS PPO
140343
Other
Michigan
PREFERRED CHOICES
P101064
Other
Michigan
BLUECARE NETWORK
11285842
Other
Michigan
CAQH
RP007287
Other
Michigan
BCBS ID
U61953
Other
Michigan
HAP
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
23610 Van Born Rd, Dearborn Heights, Michigan
Zip:
48125-2356
Phone Number:
313-291-1060
Fax Number:
313-291-1089
Patients can reach Dr. Renee Irene Pethtel at 23610 Van Born Rd, Dearborn Heights, Michigan or can call to book an appointment on 313-291-1060. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.