Provider Demographics
NPI:1891451506
Name:RASCHELLA, CHRISTOPHER PHILIP (DC)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:PHILIP
Last Name:RASCHELLA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1047 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04073-3620
Mailing Address - Country:US
Mailing Address - Phone:207-324-5753
Mailing Address - Fax:
Practice Address - Street 1:1047 MAIN ST
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:ME
Practice Address - Zip Code:04073-3620
Practice Address - Country:US
Practice Address - Phone:207-324-5753
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-17
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR2804111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME004351Medicaid