MEDICARE: DR. P. CARL RAFEY D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC 3075	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841340585
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. P. CARL RAFEY D.C.

Provider Business Mailing Address
First Line	:	3377 COMPTON RD
Second Line	:	SUITE 130
City	:	CINCINNATI
State	:	OH
Zip	:	45251-2506
Country	:	US
Telephone Number	:	513-276-4130
Fax Number	:	513-276-4136

Provider Business Practice Location Address
First Line	:	3377 COMPTON RD
Second Line	:	SUITE 130
City	:	CINCINNATI
State	:	OH
Zip	:	45251-2506
Country	:	US
Telephone Number	:	513-276-4130
Fax Number	:	513-276-4136

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	05/25/2010

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