Provider Demographics
NPI:1891774782
Name:RAYE, MERRILL AUGUSTINE (DC)
Entity Type:Individual
Prefix:DR
First Name:MERRILL
Middle Name:AUGUSTINE
Last Name:RAYE
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 1:139 SOUTH WALNUT STREET
Mailing Address - Street 2:
Mailing Address - City:OTTAWA
Mailing Address - State:OH
Mailing Address - Zip Code:45875
Mailing Address - Country:US
Mailing Address - Phone:419-523-6927
Mailing Address - Fax:419-523-6927
Practice Address - Street 1:139 SOUTH WALNUT STREET
Practice Address - Street 2:
Practice Address - City:OTTAWA
Practice Address - State:OH
Practice Address - Zip Code:45875
Practice Address - Country:US
Practice Address - Phone:419-523-6927
Practice Address - Fax:419-523-6927
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-10
Last Update Date:2015-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH416111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA350000933OtherRAILROAD MEDICARE
OH340902671 00OtherWORKERS COMP
OH340902671 00OtherWORKERS COMP
GA350000933OtherRAILROAD MEDICARE