Provider Demographics
NPI:1205843984
Name:RINZLER, RICHARD ANTHONY (DC)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:ANTHONY
Last Name:RINZLER
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 893
Mailing Address - Street 2:
Mailing Address - City:COLUSA
Mailing Address - State:CA
Mailing Address - Zip Code:95932-0893
Mailing Address - Country:US
Mailing Address - Phone:530-458-7774
Mailing Address - Fax:530-458-2789
Practice Address - Street 1:412 4TH ST
Practice Address - Street 2:
Practice Address - City:COLUSA
Practice Address - State:CA
Practice Address - Zip Code:95932-2602
Practice Address - Country:US
Practice Address - Phone:530-458-7774
Practice Address - Fax:530-458-2789
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 15107111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC015170Medicare PIN
CATO5638Medicare UPIN