Provider Demographics
NPI:1477151454
Name:RACHELLE H. KING, D.C.
Entity Type:Organization
Organization Name:RACHELLE H. KING, D.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RACHELLE
Authorized Official - Middle Name:H
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:978-821-9014
Mailing Address - Street 1:61 CENTRAL SQ STE 4
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-3096
Mailing Address - Country:US
Mailing Address - Phone:978-710-5163
Mailing Address - Fax:978-319-9558
Practice Address - Street 1:61 CENTRAL SQ STE 4
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-3096
Practice Address - Country:US
Practice Address - Phone:978-710-5163
Practice Address - Fax:978-319-9558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-13
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110088300AMedicaid