Individual
DR. CARMEL JOY RAIHALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC CCSP
Contact information
Practice address
1804 S ASHLAND AVE, GREEN BAY, WI 54304
(920) 432-7774
(920) 432-7784
Mailing address
1804 S ASLAND AVE, GREEN BAY, WI 54304
(920) 432-7774
(920) 432-7784
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2512
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38871800
—
WI
01
—
P00209325
RAILROAD MEDIARE PIN #
WI
Enumeration date
08/19/2006
Last updated
07/26/2010
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