Provider Demographics
NPI:1063556744
Name:ALAOUIE, RAFIC M (DC)
Entity type:Individual
Prefix:MR
First Name:RAFIC
Middle Name:M
Last Name:ALAOUIE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42875 FIVE MILE RD
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-2542
Mailing Address - Country:US
Mailing Address - Phone:734-404-7007
Mailing Address - Fax:734-404-7008
Practice Address - Street 1:42875 FIVE MILE RD
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-2542
Practice Address - Country:US
Practice Address - Phone:734-404-7007
Practice Address - Fax:734-404-7008
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIRA007915111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4227326Medicaid
MI0M88170Medicare PIN
MI950H25388Medicare UPIN