Provider Demographics
NPI:1124698972
Name:JFC
Entity type:Organization
Organization Name:JFC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:H
Authorized Official - Last Name:RABINEAU
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:989-370-3563
Mailing Address - Street 1:1594 LAKESIDE DR
Mailing Address - Street 2:
Mailing Address - City:HUDSONVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49426-8101
Mailing Address - Country:US
Mailing Address - Phone:989-370-3563
Mailing Address - Fax:
Practice Address - Street 1:6293 KENOWA AVE SW
Practice Address - Street 2:
Practice Address - City:GRANDVILLE
Practice Address - State:MI
Practice Address - Zip Code:49418-9405
Practice Address - Country:US
Practice Address - Phone:616-730-1137
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-24
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty