MEDICARE: DR. BARRY LOUIS RAHN 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	2024	AZ

General Provider Information

NPI Number	:	1942253901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARRY LOUIS RAHN DC

Provider Business Mailing Address
First Line	:	6843 N ORACLE RD
Second Line	:	SUITE17
City	:	TUCSON
State	:	AZ
Zip	:	85704-4280
Country	:	US
Telephone Number	:	520-575-0929
Fax Number	:	520-575-0939

Provider Business Practice Location Address
First Line	:	6843 N ORACLE RD
Second Line	:	SUITE17
City	:	TUCSON
State	:	AZ
Zip	:	85704-4280
Country	:	US
Telephone Number	:	520-575-0929
Fax Number	:	520-575-0939

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

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	07/08/2007

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