Provider Demographics
NPI:1467505578
Name:FELVER-CHRISTENSEN, RENEE LYNN (DC)
Entity Type:Individual
Prefix:DR
First Name:RENEE
Middle Name:LYNN
Last Name:FELVER-CHRISTENSEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227080 RIB MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54401-3351
Mailing Address - Country:US
Mailing Address - Phone:715-848-9355
Mailing Address - Fax:715-848-9332
Practice Address - Street 1:227080 RIB MOUNTAIN DR
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54401-3351
Practice Address - Country:US
Practice Address - Phone:715-848-9355
Practice Address - Fax:715-848-9332
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8522111N00000X
CA27984111N00000X
WI3927-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI38952900Medicaid