Provider Demographics
NPI:1386817526
Name:RAHE CHIROPRACTIC LLC
Entity type:Organization
Organization Name:RAHE CHIROPRACTIC LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:J
Authorized Official - Last Name:RAHE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:515-255-5330
Mailing Address - Street 1:6611 UNIVERSITY AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:WINDSOR HEIGHTS
Mailing Address - State:IA
Mailing Address - Zip Code:50311-1655
Mailing Address - Country:US
Mailing Address - Phone:515-255-5330
Mailing Address - Fax:515-255-5256
Practice Address - Street 1:102 SE 30TH ST STE 3
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50021-9324
Practice Address - Country:US
Practice Address - Phone:515-255-5330
Practice Address - Fax:855-704-1568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-09
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06753111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty