Provider Demographics
NPI:1841340585
Name:RAFEY, P. CARL (DC)
Entity type:Individual
Prefix:DR
First Name:P.
Middle Name:CARL
Last Name:RAFEY
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 1:3377 COMPTON RD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45251-2506
Mailing Address - Country:US
Mailing Address - Phone:513-276-4130
Mailing Address - Fax:513-276-4136
Practice Address - Street 1:3377 COMPTON RD
Practice Address - Street 2:SUITE 130
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45251-2506
Practice Address - Country:US
Practice Address - Phone:513-276-4130
Practice Address - Fax:513-276-4136
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2010-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDC 3075111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2185915Medicaid
OHY30359Medicare UPIN
OHRA4028724Medicare ID - Type Unspecified