Healthcare Provider Details

I. General information

NPI: 1669588042
Provider Name (Legal Business Name): SCOTT MICHAEL RAHSCHULTE D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

981 STATE ROAD 46 E SUITE D
BATESVILLE IN
47006-7631
US

IV. Provider business mailing address

981 STATE ROAD 46 E SUITE D
BATESVILLE IN
47006-7631
US

V. Phone/Fax

Practice location:
  • Phone: 812-934-2631
  • Fax: 812-934-2632
Mailing address:
  • Phone: 812-934-2631
  • Fax: 812-934-2632

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number08001791A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2663
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: