MEDICARE: RIMROCK CHIROPRACTIC LLC

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	5535	CO

General Provider Information

NPI Number	:	1548455371
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIMROCK CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	316 HIGHWAY 6 AND 50 STE B
Second Line	:
City	:	FRUITA
State	:	CO
Zip	:	81521-2642
Country	:	US
Telephone Number	:	970-858-0544
Fax Number	:

Provider Business Practice Location Address
First Line	:	1133 PATTERSON RD STE 3
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81506-8848
Country	:	US
Telephone Number	:	970-201-3567
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GREG HAITZ
Credential	:	DC
Telephone Number	:	970-201-3567

Provider Enumeration Date	:	09/14/2007
Last Update Date	:	09/14/2007

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Directions to “RIMROCK CHIROPRACTIC LLC ” Practice Location

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