MEDICARE: DR. CRAIG PATRICK RINALDI DC

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	5802	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AZ0939600	OTHER	AZ	BLUE CROSS BLUE SHIELD
2	AW5162	OTHER		HEALTHNET
3	590522	OTHER	AZ	AHCCS

General Provider Information

NPI Number	:	1477656841
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CRAIG PATRICK RINALDI DC

Provider Business Mailing Address
First Line	:	6418 E BENT TREE DR
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85266-6749
Country	:	US
Telephone Number	:	480-778-9199
Fax Number	:	480-778-9299

Provider Business Practice Location Address
First Line	:	7016 N 27TH AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85051-8402
Country	:	US
Telephone Number	:	480-778-9199
Fax Number	:	480-778-9299

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

Provider Enumeration Date	:	09/07/2006
Last Update Date	:	04/18/2014

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