Provider Demographics
NPI:1013501667
Name:RELENTLESS CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:RELENTLESS CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:OSTROWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-850-2297
Mailing Address - Street 1:315 RIVERSIDE PKWY NE STE 130
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30161-2989
Mailing Address - Country:US
Mailing Address - Phone:586-850-2297
Mailing Address - Fax:
Practice Address - Street 1:315 RIVERSIDE PKWY NE STE 130
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30161-2989
Practice Address - Country:US
Practice Address - Phone:586-850-2297
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-24
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty