Provider Demographics
NPI:1063843738
Name:RABIN, NEIL JAY (DC)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:JAY
Last Name:RABIN
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 1:1 COOL BLOW ST
Mailing Address - Street 2:STE 121
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29403-4271
Mailing Address - Country:US
Mailing Address - Phone:843-437-1128
Mailing Address - Fax:
Practice Address - Street 1:1 COOL BLOW ST
Practice Address - Street 2:STE 121
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29403-4271
Practice Address - Country:US
Practice Address - Phone:843-437-1128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-06
Last Update Date:2013-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2814111N00000X
GA1048111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor