Provider Demographics
NPI:1871526673
Name:COVENY, RACHEL MARIE (DC)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:MARIE
Last Name:COVENY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 TAYLOR STREET
Mailing Address - Street 2:PO BOX 257
Mailing Address - City:HOLMESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44633
Mailing Address - Country:US
Mailing Address - Phone:330-279-2225
Mailing Address - Fax:330-279-2220
Practice Address - Street 1:105 TAYLOR STREET
Practice Address - Street 2:
Practice Address - City:HOLMESVILLE
Practice Address - State:OH
Practice Address - Zip Code:44633
Practice Address - Country:US
Practice Address - Phone:330-279-2225
Practice Address - Fax:330-279-2220
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-08
Last Update Date:2015-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3055111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000377335OtherANTHEM
OH810655219-00OtherBWC
OH2535171Medicaid
OHV03178Medicare UPIN
OH2535171Medicaid