Cleveland, Gina Rebecca

Cleveland, Gina Rebecca is an individual health care provider with primary practice located at 112 E Walnut St , River Falls WI 54022-2439. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Cleveland, Gina Rebecca can be contacted via phone (715) 425-0333.

Contact Information

Primary practice address
112 E Walnut St River Falls WI 54022-2439
Fax: (715) 425-2273
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3282 Wisconsin

Profile Details

NPI number 1669495354
LBN Legal business name Cleveland, Gina Rebecca
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669495354 NPPES
Wisconsin MEDICAID 38906800

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