Provider Demographics
NPI:1578812871
Name:RAINEY CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:RAINEY CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IAN
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:RAINEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:567-259-3317
Mailing Address - Street 1:1130 PINEHURST RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-5408
Mailing Address - Country:US
Mailing Address - Phone:727-314-2663
Mailing Address - Fax:
Practice Address - Street 1:1130 PINEHURST RD
Practice Address - Street 2:SUITE E
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-5408
Practice Address - Country:US
Practice Address - Phone:727-314-2663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-31
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11734111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLIT894AMedicare PIN