Provider Demographics
NPI:1619440476
Name:MICHAEL D RAIRIGH,AU.D PLLC
Entity Type:Organization
Organization Name:MICHAEL D RAIRIGH,AU.D PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:RAIRIGH
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:724-347-2005
Mailing Address - Street 1:3135 HIGHLAND RD STE B
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:PA
Mailing Address - Zip Code:16148-4511
Mailing Address - Country:US
Mailing Address - Phone:724-347-2005
Mailing Address - Fax:724-347-4484
Practice Address - Street 1:3135 HIGHLAND RD STE B
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148-4511
Practice Address - Country:US
Practice Address - Phone:724-347-2005
Practice Address - Fax:724-347-4484
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HERMITAGE AUDIOLOGY AND FYZICAL THERAPY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-04
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PANONEMedicaid