Provider Demographics
NPI:1881882595
Name:RASCHKE CHIROPRACTIC CENTER INC.
Entity type:Organization
Organization Name:RASCHKE CHIROPRACTIC CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:RASCHKE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:507-368-3339
Mailing Address - Street 1:108 CENTER ST. N.
Mailing Address - Street 2:
Mailing Address - City:LAKE BENTON
Mailing Address - State:MN
Mailing Address - Zip Code:56149
Mailing Address - Country:US
Mailing Address - Phone:507-368-3339
Mailing Address - Fax:507-368-1339
Practice Address - Street 1:108 CENTER ST. N.
Practice Address - Street 2:BOX 37
Practice Address - City:LAKE BENTON
Practice Address - State:MN
Practice Address - Zip Code:56149
Practice Address - Country:US
Practice Address - Phone:507-368-3339
Practice Address - Fax:507-368-1339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4299111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty