Provider Demographics
NPI:1326259714
Name:RANNEY CHIROPACTIC CENTER
Entity Type:Organization
Organization Name:RANNEY CHIROPACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:RANNEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:508-228-2200
Mailing Address - Street 1:15 AMELIA DR
Mailing Address - Street 2:
Mailing Address - City:NANTUCKET
Mailing Address - State:MA
Mailing Address - Zip Code:02554-6063
Mailing Address - Country:US
Mailing Address - Phone:508-228-2200
Mailing Address - Fax:508-325-4921
Practice Address - Street 1:15 AMELIA DR
Practice Address - Street 2:
Practice Address - City:NANTUCKET
Practice Address - State:MA
Practice Address - Zip Code:02554-6063
Practice Address - Country:US
Practice Address - Phone:508-228-2200
Practice Address - Fax:508-325-4921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1740111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAM21588Medicare PIN