Provider Demographics
NPI:1962957571
Name:MENDEL, RAPHAEL P (DC)
Entity type:Individual
Prefix:DR
First Name:RAPHAEL
Middle Name:P
Last Name:MENDEL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:RALPH
Other - Middle Name:
Other - Last Name:MENDEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:300 HILLSIDE ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-1355
Mailing Address - Country:US
Mailing Address - Phone:828-785-1475
Mailing Address - Fax:
Practice Address - Street 1:300 HILLSIDE ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-1355
Practice Address - Country:US
Practice Address - Phone:828-785-1475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-24
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4665111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition