Provider Demographics
NPI:1568626596
Name:REHL, MICHAEL SHERIAR (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:SHERIAR
Last Name:REHL
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 1:1280 BOULEVARD WAY
Mailing Address - Street 2:STE. 211
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94595-1154
Mailing Address - Country:US
Mailing Address - Phone:925-330-3326
Mailing Address - Fax:925-949-8306
Practice Address - Street 1:1280 BOULEVARD WAY
Practice Address - Street 2:STE. 211
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94595-1154
Practice Address - Country:US
Practice Address - Phone:925-330-3326
Practice Address - Fax:925-949-8306
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-18
Last Update Date:2010-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30927111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor