Healthcare Provider Details

I. General information

NPI: 1275889958
Provider Name (Legal Business Name): RABINOWITZCM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2012
Last Update Date: 07/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 17TH ST NW STE 1020
WASHINGTON DC
20006-2623
US

IV. Provider business mailing address

910 17TH ST NW STE 1020
WASHINGTON DC
20006-2623
US

V. Phone/Fax

Practice location:
  • Phone: 202-822-4664
  • Fax:
Mailing address:
  • Phone: 202-822-4664
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC30074
License Number StateDC

VIII. Authorized Official

Name: EVAN RABINOWITZ
Title or Position: OFFICER
Credential:
Phone: 202-822-4664