Provider Demographics
NPI:1437149283
Name:RENZE, CHRISTOPHER MICHAEL (DC, DIBCN)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:MICHAEL
Last Name:RENZE
Suffix:
Gender:M
Credentials:DC, DIBCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 E 1ST ST
Mailing Address - Street 2:SUITE L
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50021-2169
Mailing Address - Country:US
Mailing Address - Phone:515-965-3844
Mailing Address - Fax:515-965-3829
Practice Address - Street 1:925 E 1ST ST
Practice Address - Street 2:SUITE L
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50021-2169
Practice Address - Country:US
Practice Address - Phone:515-965-3844
Practice Address - Fax:515-965-3829
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06501111NN0400X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1267773Medicaid
IAU89995Medicare UPIN
IAI6137Medicare PIN