Provider Demographics
NPI:1841468642
Name:CRAIG P RINALDI DC PC
Entity type:Organization
Organization Name:CRAIG P RINALDI DC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:RINALDI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-778-9199
Mailing Address - Street 1:13220 N SCOTTSDALE RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-4039
Mailing Address - Country:US
Mailing Address - Phone:480-778-9199
Mailing Address - Fax:480-778-9299
Practice Address - Street 1:13220 N SCOTTSDALE RD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-4039
Practice Address - Country:US
Practice Address - Phone:480-778-9199
Practice Address - Fax:480-778-9299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-14
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5802111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZA79381Medicare PIN
AZZ79379Medicare PIN
U82291Medicare UPIN