Provider Demographics
NPI:1518459973
Name:AUSTIN J. REHM DC L.L.C.
Entity Type:Organization
Organization Name:AUSTIN J. REHM DC L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:AUSTIN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:REHM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:248-884-4604
Mailing Address - Street 1:16910 S US HIGHWAY 441 STE 206
Mailing Address - Street 2:
Mailing Address - City:SUMMERFIELD
Mailing Address - State:FL
Mailing Address - Zip Code:34491-8664
Mailing Address - Country:US
Mailing Address - Phone:352-347-4422
Mailing Address - Fax:352-347-9044
Practice Address - Street 1:16910 S US HIGHWAY 441 STE 206
Practice Address - Street 2:
Practice Address - City:SUMMERFIELD
Practice Address - State:FL
Practice Address - Zip Code:34491-8664
Practice Address - Country:US
Practice Address - Phone:248-884-4604
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-01
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH12149111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty