Provider Demographics
NPI:1487653127
Name:RICE, DANIELLE RENEE (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:RENEE
Last Name:RICE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1270 CLEMENT DR
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-1577
Mailing Address - Country:US
Mailing Address - Phone:614-846-3658
Mailing Address - Fax:
Practice Address - Street 1:57 E WILSON BRIDGE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-2368
Practice Address - Country:US
Practice Address - Phone:614-785-9999
Practice Address - Fax:614-785-9995
Is Sole Proprietor?:No
Enumeration Date:2005-07-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3398111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHU96987Medicare UPIN
OH9345001Medicare ID - Type Unspecified