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RUBERT CHIROPRACTIC CLINIC S.C. NPI 1215003892


NPI Information

NPI: 1215003892
Provider Name: RUBERT CHIROPRACTIC CLINIC, S.C.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
139 N LAKE ST
HUSTISFORD, WI
ZIP 53034
Phone: (920) 349-3233
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RUBERT CHIROPRACTIC CLINIC, S.C. is a chiropractor in Hustisford, WI. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. RUBERT CHIROPRACTIC CLINIC, S.C. NPI is 1215003892. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

139 N LAKE ST
HUSTISFORD, WI
ZIP 53034
Phone: (920) 349-3233
Fax: (920) 349-3933

The provider's authorized official is Paul David Rubert .
The authorized official title is Owner President and has the following contact phone number (920) 349-3233.

The enumeration date for this NPI number is 11/27/2006 and was last updated on 12/5/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor3728012WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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