Healthcare Provider Details

I. General information

NPI: 1366556532
Provider Name (Legal Business Name): DEANA SUE REHMEL D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3101 N GREEN RIVER RD SUITE 110
EVANSVILLE IN
47715-1369
US

IV. Provider business mailing address

7135 E 500 S
FRANCISCO IN
47649-9155
US

V. Phone/Fax

Practice location:
  • Phone: 812-491-7777
  • Fax: 812-491-7877
Mailing address:
  • Phone: 812-491-7777
  • Fax: 812-491-7877

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number08002025A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: