Healthcare Provider Details

I. General information

NPI: 1518429257
Provider Name (Legal Business Name): RACHEL ALFANO DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL WEENE DC

II. Dates (important events)

Enumeration Date: 04/02/2019
Last Update Date: 08/03/2023
Certification Date: 08/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 POST OFFICE RD STE 102
WALDORF MD
20602-2714
US

IV. Provider business mailing address

1 POST OFFICE RD STE 102
WALDORF MD
20602-2714
US

V. Phone/Fax

Practice location:
  • Phone: 301-870-4277
  • Fax: 301-645-1252
Mailing address:
  • Phone: 301-870-4277
  • Fax: 301-645-1252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberS03872
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: