Life Clinic of Wi SC
NPI 1295378875ActiveOrganization· Chiropractor· Brookfield, WI
Chiropractor in Brookfield, Wisconsin, registered in NPPES in October 2019. The authorized official on file is Reza Alizadeh, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1295378875 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 25, 2019 |
| Last updated in NPPES | Jan 26, 2022 |
| Certified by provider | Jan 26, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WI) |
|---|
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