Provider Demographics
NPI:1770017451
Name:RAY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:RAY CHIROPRACTIC LLC
Other - Org Name:SEMLOW CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:YANEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:248-879-8144
Mailing Address - Street 1:6780 ROCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48085-1283
Mailing Address - Country:US
Mailing Address - Phone:248-879-8144
Mailing Address - Fax:
Practice Address - Street 1:6780 ROCHESTER RD
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48085-1283
Practice Address - Country:US
Practice Address - Phone:248-879-8144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-19
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty