Provider Demographics
NPI:1033327861
Name:RACHBIND, MARC (DC)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:
Last Name:RACHBIND
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7636
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33338-7636
Mailing Address - Country:US
Mailing Address - Phone:954-522-5505
Mailing Address - Fax:954-522-5543
Practice Address - Street 1:1218 NE 4TH AVE
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33304-1925
Practice Address - Country:US
Practice Address - Phone:954-522-5505
Practice Address - Fax:954-522-5543
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH6704111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL55232Medicare ID - Type Unspecified