Provider Demographics
NPI:1306998372
Name:RINALDI, ANTHONY CARL JR (DC)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:CARL
Last Name:RINALDI
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:W359N5920 BROWN ST
Mailing Address - Street 2:
Mailing Address - City:OCONOMOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:53066-2488
Mailing Address - Country:US
Mailing Address - Phone:262-560-4977
Mailing Address - Fax:775-599-9575
Practice Address - Street 1:W359N5920 BROWN ST
Practice Address - Street 2:
Practice Address - City:OCONOMOWOC
Practice Address - State:WI
Practice Address - Zip Code:53066-2488
Practice Address - Country:US
Practice Address - Phone:262-560-4977
Practice Address - Fax:775-599-9575
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4011-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor