Organization
RAUCH CHIROPRACTIC LIFE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY KARL RAUCH D.C. (OWNER)
(586) 978-8240
Entity
Organization
Contact information
Practice address
38904 DEQUINDRE RD, STERLING HEIGHTS, MI 48310-2890
(586) 978-8240
(586) 978-1417
Mailing address
38904 DEQUINDRE RD, STERLING HEIGHTS, MI 48310-2890
(586) 978-8240
(586) 978-1417
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
004112
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E01400
BCBS GROUP
MI
01
—
0E01416
BCBS
MI
01
—
0E05381
BCBS
MI
01
—
11279056
CAQH
MI
01
—
151224
GREATLAKES
MI
05
—
2112712
—
MI
05
—
4740719
—
MI
01
—
667983
ACN
MI
01
—
CH500017
MCARE
MI
Enumeration date
04/23/2007
Last updated
04/20/2008
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