MEDICARE: ROCK CHIROPRACTIC

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	31143	OTHER	IA	WELLMARK BCBS IA

General Provider Information

NPI Number	:	1700845138
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROCK CHIROPRACTIC

Provider Business Mailing Address
First Line	:	721 8TH STREET SE
Second Line	:
City	:	ORANGE CITY
State	:	IA
Zip	:	51041-7451
Country	:	US
Telephone Number	:	712-737-6824
Fax Number	:	712-737-6426

Provider Business Practice Location Address
First Line	:	721 8TH ST SE
Second Line	:
City	:	ORANGE CITY
State	:	IA
Zip	:	51041-7451
Country	:	US
Telephone Number	:	712-737-6824
Fax Number	:	712-737-6426

Authorized Official
Title or Position	:	OWNER
Name	:	SARAH LOUISE RAAK
Credential	:	DC
Telephone Number	:	712-737-6824

Provider Enumeration Date	:	03/23/2006
Last Update Date	:	12/11/2023

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Directions to “ROCK CHIROPRACTIC ” Practice Location

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