MEDICARE: DR. JOHN M. RAUCH D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH7395	FL

General Provider Information

NPI Number	:	1083712400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN M. RAUCH D.C.

Provider Business Mailing Address
First Line	:	33385 US HIGHWAY 19 N
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34684-3128
Country	:	US
Telephone Number	:	727-785-4830
Fax Number	:	727-787-3828

Provider Business Practice Location Address
First Line	:	33385 US HIGHWAY 19 N
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34684-3128
Country	:	US
Telephone Number	:	727-785-4830
Fax Number	:	727-787-3828

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	07/09/2007

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