Provider Demographics
NPI:1851389431
Name:ROLLING HILLS CHIROPRACTIC PC.
Entity Type:Organization
Organization Name:ROLLING HILLS CHIROPRACTIC PC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:K
Authorized Official - Last Name:REINBOLDT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:903-454-2225
Mailing Address - Street 1:2806 MITCHELL ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75402-8939
Mailing Address - Country:US
Mailing Address - Phone:903-454-2225
Mailing Address - Fax:903-454-4766
Practice Address - Street 1:2806 MITCHELL ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75402-8939
Practice Address - Country:US
Practice Address - Phone:903-454-2225
Practice Address - Fax:903-454-4766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-08
Last Update Date:2015-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5056111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX640101OtherACN
TX8H3830OtherBLUE CROSS/ BLUE SHIELD
TX4324263OtherAETNA
TXCO6033747OtherMEDICAID TEXAS
TX603374Medicare PIN