Provider Demographics
NPI:1801088141
Name:RANK CHIROPRACTIC CENTER
Entity type:Organization
Organization Name:RANK CHIROPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:DUANE
Authorized Official - Last Name:RANK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:937-498-7515
Mailing Address - Street 1:1754 W. MICHIGAN AVE.
Mailing Address - Street 2:
Mailing Address - City:SIDNEY
Mailing Address - State:OH
Mailing Address - Zip Code:45365-2487
Mailing Address - Country:US
Mailing Address - Phone:937-498-7515
Mailing Address - Fax:937-498-7528
Practice Address - Street 1:1754 W. MICHIGAN AVE.
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:OH
Practice Address - Zip Code:45365-2487
Practice Address - Country:US
Practice Address - Phone:937-498-7515
Practice Address - Fax:937-498-7528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-10
Last Update Date:2012-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1861111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHRA9256562Medicare PIN