MEDICARE: RISE CHIROPRACTIC, PLLC

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245879832
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RISE CHIROPRACTIC, PLLC

Provider Business Mailing Address
First Line	:	4235 DIRKER RD
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48638-5618
Country	:	US
Telephone Number	:	619-606-0952
Fax Number	:

Provider Business Practice Location Address
First Line	:	1570 S EUCLID AVE
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706-3318
Country	:	US
Telephone Number	:	619-606-0952
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHELSIE ARNOLD
Credential	:	DC
Telephone Number	:	619-606-0952

Provider Enumeration Date	:	12/30/2019
Last Update Date	:	12/30/2019

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Directions to “RISE CHIROPRACTIC, PLLC ” Practice Location

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