Provider Demographics
NPI:1508406026
Name:RAHN CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:RAHN CHIROPRACTIC PLLC
Other - Org Name:DOWNTOWN CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:RAHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-664-3333
Mailing Address - Street 1:793 S MAIN ST STE A
Mailing Address - Street 2:
Mailing Address - City:LAPEER
Mailing Address - State:MI
Mailing Address - Zip Code:48446-3094
Mailing Address - Country:US
Mailing Address - Phone:989-992-7698
Mailing Address - Fax:810-664-1361
Practice Address - Street 1:793 S MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:LAPEER
Practice Address - State:MI
Practice Address - Zip Code:48446-3094
Practice Address - Country:US
Practice Address - Phone:810-664-3333
Practice Address - Fax:810-664-1361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-13
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1578108239Medicaid