Provider Demographics
NPI:1962672113
Name:RAIRIGH, MICHAEL DAVID (AUD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:DAVID
Last Name:RAIRIGH
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3135 HIGHLAND RD STE B
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:PA
Mailing Address - Zip Code:16148-4511
Mailing Address - Country:US
Mailing Address - Phone:724-347-2005
Mailing Address - Fax:724-347-4484
Practice Address - Street 1:3135 HIGHLAND RD STE B
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148-4511
Practice Address - Country:US
Practice Address - Phone:724-347-2005
Practice Address - Fax:724-347-4484
Is Sole Proprietor?:No
Enumeration Date:2008-03-04
Last Update Date:2017-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006186237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD780LMedicare PIN