National Provider Identifier Database

BRIAN T RUDDELL, DC – NPI #1770648388
Chiropractor

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.


Contact Information

BRIAN T RUDDELL, DC
1117 16TH AVENUE
LEWISTON, ID83501
Phone: 208-743-8401
Fax: 208-743-8722
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for BRIAN T RUDDELL

NPI Number 1770648388
Credentials DC (Doctor of Chiropractic)
Entity Individual
Enumeration date 12/26/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • ID License #: CHIA503
  • Other: 38266 DEPT OF LABOR AND INDUSTR
  • ID Other: C5030 BLUESCROSS
  • ID Other: 000010018610 REGENCE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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