Provider Demographics
NPI:1639366172
Name:RAPPE CHIROPRACTIC INC
Entity Type:Organization
Organization Name:RAPPE CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DR OF CHIROPRACTIC
Authorized Official - Prefix:
Authorized Official - First Name:GREY
Authorized Official - Middle Name:A
Authorized Official - Last Name:RAPPE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:760-777-4177
Mailing Address - Street 1:15550 ROCKFIELD BLVD
Mailing Address - Street 2:B220
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-2720
Mailing Address - Country:US
Mailing Address - Phone:949-598-9999
Mailing Address - Fax:949-598-9990
Practice Address - Street 1:78474 HIGHWAY 111
Practice Address - Street 2:C
Practice Address - City:LA QUINTA
Practice Address - State:CA
Practice Address - Zip Code:92253-2088
Practice Address - Country:US
Practice Address - Phone:760-777-4177
Practice Address - Fax:760-777-4174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-28
Last Update Date:2007-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC20357111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU50102Medicare UPIN
CADC0203570Medicare PIN