Organization
JUDY K RINDAL SOBOROWICZ
Active
Other names
Active Health Chiropactic
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY K SOBOROWICZ DC (OWNER)
(715) 834-6333
Entity
Organization
Contact information
Practice address
3521 LONDON RD, EAU CLAIRE, WI 54701-7861
(715) 834-6333
Mailing address
3521 LONDON RD, EAU CLAIRE, WI 54701-7861
(715) 834-6333
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350050961
MEDICARE RAILROAD P10
WI
01
—
350050962
RAILROAD P10
WI
01
—
CB4904
RAILROAD MEDICARE
WI
Enumeration date
06/20/2008
Last updated
01/25/2011
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