Provider Demographics
NPI:1811041833
Name:NATURAL SOLUTIONS CHIROPRACTIC INCORPORATED
Entity Type:Organization
Organization Name:NATURAL SOLUTIONS CHIROPRACTIC INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT,
Authorized Official - Prefix:DR
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:RENSLOW
Authorized Official - Suffix:
Authorized Official - Credentials:DC, FIAMA
Authorized Official - Phone:954-217-0234
Mailing Address - Street 1:2883 EXECUTIVE PARK DR
Mailing Address - Street 2:#102
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33331-3662
Mailing Address - Country:US
Mailing Address - Phone:954-217-0234
Mailing Address - Fax:954-217-2435
Practice Address - Street 1:2883 EXECUTIVE PARK DR
Practice Address - Street 2:#102
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331-3662
Practice Address - Country:US
Practice Address - Phone:954-217-0234
Practice Address - Fax:954-217-2435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAD392Medicare PIN