Provider Demographics
NPI:1477652329
Name:ALARIE, RENEL GERALD (DC)
Entity Type:Individual
Prefix:DR
First Name:RENEL
Middle Name:GERALD
Last Name:ALARIE
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 1:514 N LINE ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA CITY
Mailing Address - State:IN
Mailing Address - Zip Code:46725-1230
Mailing Address - Country:US
Mailing Address - Phone:260-244-6776
Mailing Address - Fax:260-277-6770
Practice Address - Street 1:514 N LINE ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA CITY
Practice Address - State:IN
Practice Address - Zip Code:46725-1230
Practice Address - Country:US
Practice Address - Phone:260-244-6776
Practice Address - Fax:260-277-6770
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001936A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN7477793OtherCIGNA
IN000000208573OtherANTHEM
IN200278990AMedicaid
IN7712191OtherAETNA
IN7477793OtherCIGNA
IN200278990AMedicaid