Provider Demographics
NPI:1447238530
Name:RAYE, MICHAEL J (DC)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:J
Last Name:RAYE
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 1:139 S WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:OTTAWA
Mailing Address - State:OH
Mailing Address - Zip Code:45875-1817
Mailing Address - Country:US
Mailing Address - Phone:419-523-9222
Mailing Address - Fax:
Practice Address - Street 1:139 S WALNUT ST
Practice Address - Street 2:
Practice Address - City:OTTAWA
Practice Address - State:OH
Practice Address - Zip Code:45875-1817
Practice Address - Country:US
Practice Address - Phone:419-523-9222
Practice Address - Fax:419-523-9322
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-09
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2327111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL123170000OtherDEPARTMENT OF LABOR
GA350051080OtherRAILROAD MEDICARE
U61211Medicare UPIN
FL123170000OtherDEPARTMENT OF LABOR