Provider Demographics
NPI:1700802550
Name:FERRARO, RACHELE (DC)
Entity Type:Individual
Prefix:DR
First Name:RACHELE
Middle Name:
Last Name:FERRARO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2191 MARKET ST STE D
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-4305
Mailing Address - Country:US
Mailing Address - Phone:415-864-3453
Mailing Address - Fax:415-626-9935
Practice Address - Street 1:2191 MARKET ST STE D
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114-4305
Practice Address - Country:US
Practice Address - Phone:415-864-3453
Practice Address - Fax:415-626-9935
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20969111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0209690Medicare ID - Type UnspecifiedMEDICARE ID NUMBER