Provider Demographics
NPI:1508114299
Name:RITA GOINES-MCCLAIN D.C., PLLC
Entity Type:Organization
Organization Name:RITA GOINES-MCCLAIN D.C., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:RITA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:GOINES-MCCLAIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:734-947-9865
Mailing Address - Street 1:15361 BURR ST
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:MI
Mailing Address - Zip Code:48180-5191
Mailing Address - Country:US
Mailing Address - Phone:734-947-9865
Mailing Address - Fax:
Practice Address - Street 1:9833 REECK RD
Practice Address - Street 2:
Practice Address - City:ALLEN PARK
Practice Address - State:MI
Practice Address - Zip Code:48101-1356
Practice Address - Country:US
Practice Address - Phone:313-382-5222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-28
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty