MEDICARE: JEANNIE H. CHAU'S RAINBOW CHIROPRACTIC, INC.

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

General Provider Information

NPI Number	:	1184081671
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEANNIE H. CHAU'S RAINBOW CHIROPRACTIC, INC.

Provider Business Mailing Address
First Line	:	930 S MOUNT VERNON AVE STE 90
Second Line	:
City	:	COLTON
State	:	CA
Zip	:	92324-3928
Country	:	US
Telephone Number	:	909-777-3453
Fax Number	:

Provider Business Practice Location Address
First Line	:	930 S MOUNT VERNON AVE STE 90
Second Line	:
City	:	COLTON
State	:	CA
Zip	:	92324-3928
Country	:	US
Telephone Number	:	909-777-3453
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. JEANNIE CHAU
Credential	:	D.C.
Telephone Number	:	909-777-3453

Provider Enumeration Date	:	01/28/2016
Last Update Date	:	01/28/2016

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