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Individual

LARRY K RHINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
4684 BROADWAY, TILGHMAN SQ, ALLENTOWN, PA 18104-3214
(610) 391-0858
(610) 391-0528
Mailing address
4684 BROADWAY, TILGHMAN SQ, ALLENTOWN, PA 18104-3214
(610) 391-0858
(610) 391-0528

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC003769L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0012339650002
MEDICAL ASSISTANCE
PA
01
10934833
CAQH PROVIDER ID
PA
01
672331
RHINE CHIRO.GROUP #
PA
01
94822
AETNA PROVIDER ID
PA
01
P00099430
PALMETTO GBA
PA
01
P1590800
OXFORD PROVDER ID
PA
Enumeration date
06/21/2005
Last updated
11/29/2007
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