MEDICARE: ROLLING HILLS CHIROPRACTIC PC.

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	5056	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	640101	OTHER	TX	ACN
2	8H3830	OTHER	TX	BLUE CROSS/ BLUE SHIELD
3	4324263	OTHER	TX	AETNA
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851389431
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROLLING HILLS CHIROPRACTIC PC.

Provider Business Mailing Address
First Line	:	2806 MITCHELL ST
Second Line	:
City	:	GREENVILLE
State	:	TX
Zip	:	75402-8939
Country	:	US
Telephone Number	:	903-454-2225
Fax Number	:	903-454-4766

Provider Business Practice Location Address
First Line	:	2806 MITCHELL ST
Second Line	:
City	:	GREENVILLE
State	:	TX
Zip	:	75402-8939
Country	:	US
Telephone Number	:	903-454-2225
Fax Number	:	903-454-4766

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DANIEL K. REINBOLDT
Credential	:	D.C.
Telephone Number	:	903-454-2225

Provider Enumeration Date	:	10/08/2005
Last Update Date	:	07/10/2015

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Directions to “ROLLING HILLS CHIROPRACTIC PC. ” Practice Location

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