Provider Demographics
NPI:1790405462
Name:DR. RENEE MALINSKI CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:DR. RENEE MALINSKI CHIROPRACTIC PLLC
Other - Org Name:ROCKFORD CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:MALINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:D C
Authorized Official - Phone:616-450-6972
Mailing Address - Street 1:13205 OLIN WOODS DR
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:MI
Mailing Address - Zip Code:49345-8427
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:515 E DIVISION ST STE 125
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:MI
Practice Address - Zip Code:49341-1805
Practice Address - Country:US
Practice Address - Phone:616-863-1020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-01
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty