Provider Demographics
NPI:1841338662
Name:SOUTH COUNTY CHIROPRACTIC INC
Entity type:Organization
Organization Name:SOUTH COUNTY CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:RAINKA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:508-865-5068
Mailing Address - Street 1:214 WORCESTER PROVIDENCE TPKE
Mailing Address - Street 2:
Mailing Address - City:SUTTON
Mailing Address - State:MA
Mailing Address - Zip Code:01590-2902
Mailing Address - Country:US
Mailing Address - Phone:508-865-5068
Mailing Address - Fax:508-865-5069
Practice Address - Street 1:214 WORCESTER PROVIDENCE TPKE
Practice Address - Street 2:
Practice Address - City:SUTTON
Practice Address - State:MA
Practice Address - Zip Code:01590-2902
Practice Address - Country:US
Practice Address - Phone:508-865-5068
Practice Address - Fax:508-865-5069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY39511OtherBLUE SHIELD
MAY39511OtherBLUE SHIELD