Provider Demographics
NPI:1841363884
Name:RIME, RICHARD A (DC)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:A
Last Name:RIME
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:P.O.BOX 1224
Mailing Address - Street 2:9 4TH AVE SW
Mailing Address - City:GARRISON
Mailing Address - State:ND
Mailing Address - Zip Code:58540-1224
Mailing Address - Country:US
Mailing Address - Phone:701-463-2231
Mailing Address - Fax:701-463-2232
Practice Address - Street 1:9 4TH AVE SW
Practice Address - Street 2:
Practice Address - City:GARRISON
Practice Address - State:ND
Practice Address - Zip Code:58540-1224
Practice Address - Country:US
Practice Address - Phone:701-463-2231
Practice Address - Fax:701-463-2232
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND348111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND456051712OtherEIN