Provider Demographics
NPI:1538339791
Name:RASNICK FAMILY CHIROPRACTIC INC
Entity type:Organization
Organization Name:RASNICK FAMILY CHIROPRACTIC INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:HARMON
Authorized Official - Last Name:RASNICK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:423-765-8977
Mailing Address - Street 1:1719 MOUNT VERNON RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30338-4268
Mailing Address - Country:US
Mailing Address - Phone:770-391-2771
Mailing Address - Fax:770-391-2772
Practice Address - Street 1:1719 MOUNT VERNON RD
Practice Address - Street 2:SUITE B
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30338-4268
Practice Address - Country:US
Practice Address - Phone:770-391-2771
Practice Address - Fax:770-391-2772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-04
Last Update Date:2014-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2255111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty