National Provider Identifier Database

BLACK RIVER CHIROPRACTIC CENTER SC
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

BLACK RIVER CHIROPRACTIC CENTER SC
237 W BROADWAY ST
BLAIR, WI54616-9366
Phone: 608-989-2020
Fax: 608-989-2308
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for BLACK RIVER CHIROPRACTIC CENTER SC

NPI Number 1396746186
Legal business name
LBN
BLACK RIVER CHIROPRACTIC CENTER SC
Authorized official RUTH JEAN - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 08/03/2005
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • WI Medicaid: 38996400

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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