Provider Demographics
NPI:1922173657
Name:RAWLIN, ERIC R (DC)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:R
Last Name:RAWLIN
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 1:124 S. FAIRFIELD RD.
Mailing Address - Street 2:SUITE B
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041
Mailing Address - Country:US
Mailing Address - Phone:801-774-0266
Mailing Address - Fax:801-719-6394
Practice Address - Street 1:124 S. FAIRFIELD RD.
Practice Address - Street 2:SUITE B
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041
Practice Address - Country:US
Practice Address - Phone:801-774-0266
Practice Address - Fax:801-719-6394
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT52596401202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor