Provider Demographics
NPI:1942540513
Name:CJR PARTNERS LLC
Entity Type:Organization
Organization Name:CJR PARTNERS LLC
Other - Org Name:SPINAL REHABILITATION CENTER OF LAKE GENEVA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:R
Authorized Official - Last Name:SLAPINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:262-248-8177
Mailing Address - Street 1:800 GENEVA PKWY N
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LAKE GENEVA
Mailing Address - State:WI
Mailing Address - Zip Code:53147-5701
Mailing Address - Country:US
Mailing Address - Phone:262-248-8177
Mailing Address - Fax:262-248-6393
Practice Address - Street 1:800 GENEVA PKWY N
Practice Address - Street 2:SUITE 102
Practice Address - City:LAKE GENEVA
Practice Address - State:WI
Practice Address - Zip Code:53147-5701
Practice Address - Country:US
Practice Address - Phone:262-248-8177
Practice Address - Fax:262-248-6393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-19
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4515-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1790018901Medicaid