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Organization
BLACK RIVER CHIROPRACTIC CENTER, SC
Active
Organization
BLACK RIVER CHIROPRACTIC CENTER, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH V JEAN DC DABCO (PRESIDENT)
(715) 284-2915
Entity
Organization
Contact information
Practice address
154 E 5TH ST, NEILLSVILLE, WI 54456-1941
(715) 743-3404
(715) 743-4449
Mailing address
126 S 2ND ST, BLACK RIVER FALLS, WI 54615-1726
(715) 284-2915
(715) 284-7492
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38996500
—
WI
Enumeration date
08/09/2005
Last updated
07/21/2022
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