Healthcare Provider Details

I. General information

NPI: 1588892160
Provider Name (Legal Business Name): MICHELE A RAHE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2009
Last Update Date: 06/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 W VIRGINIA ST
EVANSVILLE IN
47710-1742
US

IV. Provider business mailing address

16 W VIRGINIA ST
EVANSVILLE IN
47710-1742
US

V. Phone/Fax

Practice location:
  • Phone: 812-464-7816
  • Fax:
Mailing address:
  • Phone: 812-464-7816
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: